Individual provider Active NPI

Kara B Dalsbo, OTR

  • Occupational Therapist
  • Wisconsin Rapids, WI
National Provider Identifier
1164022000
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1350 River Run Dr
Wisconsin Rapids, WI 54494-5487
Phone
(715) 451-0677
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary
Occupational Therapist 225X00000X 6891-26 WI

Addresses

Primary practice location

1350 River Run Dr
Wisconsin Rapids, WI 54494-5487

Mailing address

1000 North Oak Ave
Marshfield, WI 54449-9914
Phone (715) 407-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623000632 WI Practitioner - Occupational Therapist in Private Practice 5890196299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6891-26WIMDOccupational Therapist
6891WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 10, 2021 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 10, 2021 Accepting new patients
Therapies Plus LLC Occupational Therapist PastSince Nov 1, 2020 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Organizations & group practices 4

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1164022000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTH OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544499914",
            "telephone_number": "715-407-4660",
            "fax_number": "715-407-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 RIVER RUN DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945487",
            "telephone_number": "715-451-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALSBO",
        "first_name": "KARA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6891-26",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.