Active NPI
Ashley Rutkowski, COTA/L
- Occupational Therapy Assistant
- Wahpeton, ND
National Provider Identifier
1346657228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1189
- Practice address
- 1505 11TH St N
Wahpeton, ND 58075-3551 - Phone
- (701) 642-3050
- NPI assigned
- Jul 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1189 | ND | Primary |
Addresses
Primary practice location
1505 11TH St N
Wahpeton, ND 58075-3551
Mailing address
1505 11TH St N
PO Box 10
Wahpeton, ND 58075-3551
Phone (701) 642-3050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1189 | ND | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405123200000",
"number": "1346657228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 11TH ST N",
"address_2": "PO BOX 10",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580753551",
"telephone_number": "701-642-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 11TH ST N",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580753551",
"telephone_number": "701-642-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTKOWSKI",
"first_name": "ASHLEY",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-12",
"last_updated": "2014-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ND",
"license": "1189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wahpeton, ND
- Lori Renee Ricigliano
- Victor Vincent Ricigliano
- Brandee Alexandra Rivard, PMHNP-BC
- Robb Q Dohman LTD (Dohman Chiropractic)
- Julie Rosenberg
- Paula Susanne Sabbe, D.D.S.
- Sanford Clinic North (Sanford Health Wahpeton Clinic)
- Sanford Medical Center Fargo (Sanford Health Wahpeton Eye Center & Optical)
- Sanford Medical Center Fargo (Sanford Health Wahpeton Clinic)
- Sanford Medical Center Fargo (Sanford Health Wahpeton Eye Center & Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.