Active NPI
Rebecca Lynn Wellman, PHD, MT-BC, DT
- Music Therapist
- Itasca, IL
National Provider Identifier
1245444686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 314 Catalpa Ave
Itasca, IL 60143-1743 - Phone
- (630) 890-1113
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Music Therapist | 225A00000X | Primary |
Addresses
Primary practice location
314 Catalpa Ave
Itasca, IL 60143-1743
Mailing address
314 Catalpa Ave
Itasca, IL 60143-1743
Phone (630) 890-1113
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1245444686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 CATALPA AVE",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431743",
"telephone_number": "630-890-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 CATALPA AVE",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431743",
"telephone_number": "630-890-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMAN",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "PHD, MT-BC, DT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.