Active NPI
Bobbi-Jo Rivera, MS, OTR/L
- Occupational Therapist
- La Crosse, WI
National Provider Identifier
1346563806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4857-026
- Practice address
- The Parenting Place
1500 Green Bay Street
La Crosse, WI 54601-6455 - Phone
- (608) 784-8125
- Fax
- (608) 796-0098
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103980 | MN | |
| Occupational Therapist | 225X00000X | 4857-026 | WI | Primary |
Addresses
Primary practice location
The Parenting Place
1500 Green Bay Street
La Crosse, WI 54601-6455
Mailing address
The Parenting Place
1500 Green Bay Street
La Crosse, WI 54601-6455
Phone (608) 784-8125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN |
Other names 1
- Bobbi-Jo Crank
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4857 | WI | MD | Physical Therapist |
| 4857-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Gundersen Clinic, LTD. | Current | Accepting new patients | |
| Gundersen Clinic, LTD. | Past | Accepting new patients |
Locations
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1111 W Wisconsin St
Sparta, WI 54656
Phone (608) 263-9531
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.
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
- Clinic/Center
- Tomah, WI
- NPI 1497708044
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
- Clinic/Center
- Calmar, IA
- NPI 1306890959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1346563806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE PARENTING PLACE",
"address_2": "1500 GREEN BAY STREET",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546016455",
"telephone_number": "608-784-8125",
"fax_number": "608-796-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE PARENTING PLACE",
"address_2": "1500 GREEN BAY STREET",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546016455",
"telephone_number": "608-784-8125",
"fax_number": "608-796-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "BOBBI-JO",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103980",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4857-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBI-JO",
"last_name": "CRANK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.