Individual provider Active NPI

Rebecca Kay Wold, OTR/L

  • Skilled Nursing Facility
  • Rapid City, SD
National Provider Identifier
1326222712
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0082 Issued in SD
Practice address
916 Mt View Rd
Rapid City, SD 57702-2521
Phone
(605) 343-8577
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0082 SD Primary

Addresses

Primary practice location

916 Mt View Rd
Rapid City, SD 57702-2521

Mailing address

916 Mt View Rd
Rapid City, SD 57702-2521
Phone (605) 343-8577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721000857 SD Practitioner - Occupational Therapist in Private Practice 3072916543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0082SDMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Badlands Therapy Services CurrentSince Jun 1, 2021 Accepting new patients
Black Hills Pediatric Therapy, LLC Past Accepting new patients

Locations

528 Kansas City St
Rapid City, SD 57701
Phone (605) 222-7336

505 Kansas City St
Ste 3
Rapid City, SD 57701
Phone (605) 222-7336

Organizations & group practices 2

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": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1326222712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 MT VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022521",
            "telephone_number": "605-343-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MT VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022521",
            "telephone_number": "605-343-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLD",
        "first_name": "REBECCA",
        "middle_name": "KAY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "0082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.