Kelsey Rubatt, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

595626 Issued in WI

Practice address

1612 N 37TH St
Superior, WI 54880-5404

Phone

(715) 718-2101

NPI assigned

Feb 16, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1366981896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N 37TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805404",
            "telephone_number": "715-718-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N 37TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805404",
            "telephone_number": "715-718-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBATT",
        "first_name": "KELSEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "595626",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary K Robinson, LICSW
• Carolyn Irene Roe, N. P.
• Anne Leslie Roeser, LICSW
• Jennifer Rosnau
• Celia Rae Ross, MSED, LPC
• Jennifer Ruona, LPCC
• Leeanna Mae Ruprecht, COTA
• Debra Rybos, CSAC
• Mark Sakowski, RN
• Cord Thomas Salmela, PA-C

• Occupational Therapist in Superior, WI
• Providers in Superior, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.