Brittney A Waloch, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1121 Issued in ND

Practice address

102 6TH St SE
Hankinson, ND 58041-4200

Phone

(701) 242-7031

Fax

(701) 242-8202

NPI assigned

May 17, 2010

Last updated

Dec 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brittney A Manske Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• South Valley Multi-District Special Education

  • Local Education Agency (LEA)
  • Hankinson, ND
  • NPI 1033412598
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1346568219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "HANKINSON",
            "state": "ND",
            "postal_code": "580410100",
            "telephone_number": "701-242-7031",
            "fax_number": "701-242-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 6TH ST SE",
            "city": "HANKINSON",
            "state": "ND",
            "postal_code": "580414200",
            "telephone_number": "701-242-7031",
            "fax_number": "701-242-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALOCH",
        "first_name": "BRITTNEY",
        "middle_name": "A",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1121",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ND",
            "license": "1121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "MANSKE",
            "middle_name": "A",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• South Valley Special Education Unit
• St Gerards Community of Care
• Jennifer Stroh
• Kelsey Marie Thrall
• Ashley Marie Vig, M.A.

• Occupational Therapist in Hankinson, ND
• Providers in Hankinson, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.