NPIMap

Individual provider Active NPI

Haley Rohleder

  • Occupational Therapist
  • Starkville, MS
National Provider Identifier
1154962777
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3902 Issued in MS
Practice address
1411 Highway 389
Starkville, MS 39759-8451
Phone
(662) 769-4888
Fax
(662) 338-5439
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 266098 KY
Occupational Therapist 225X00000X OT010776 OH
Occupational Therapist 225X00000X OT3902 MS Primary

Addresses

Primary practice location

1411 Highway 389
Starkville, MS 39759-8451

Mailing address

1411 Highway 389
Starkville, MS 39759-8451
Phone (662) 769-4888

Other practice location 1

3817 Colonel Glenn Hwy
Beavercreek, OH 45324-2031
Phone (937) 427-9200

Other practice location 2

107 Financial Pl
Elizabethtown, KY 42701-8450
Phone (270) 763-8225

Other identifiers 1

IdentifierTypeStateIssuer
AB7360731OtherOHMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
266098KYMDOccupational Therapist
OT3902MSMDOccupational Therapist
OT010776OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
OT 4 Kidz, LLC Occupational Therapist CurrentSince Sep 3, 2025 Accepting new patients
Children'S Rehab Occupational Therapist PastSince Sep 23, 2021 Accepting new patients
Abc Pediatric Therapy LLC Occupational Therapist PastSince Oct 1, 2019 Accepting new patients

Locations

1411 Highway 389
Starkville, MS 39759
Phone (662) 769-4888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1154962777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 HIGHWAY 389",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598451",
            "telephone_number": "662-769-4888",
            "fax_number": "662-338-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 HIGHWAY 389",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598451",
            "telephone_number": "662-769-4888",
            "fax_number": "662-338-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3817 Colonel Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "453242031",
            "country_code": "US",
            "telephone_number": "937-427-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Financial Pl",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018450",
            "country_code": "US",
            "telephone_number": "270-763-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHLEDER",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "266098",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010776",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AB7360731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.