Individual provider Active NPI

Roberta Wasilko, O.T.

  • Occupational Therapist
  • Rehoboth Beach, DE
National Provider Identifier
1376560037
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0001063 Issued in DE
Practice address
19266 Coastal Hwy
Shops at Sea Coast
Rehoboth Beach, DE 19971-6117
Phone
(302) 226-2230
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00102900 NJ
Occupational Therapist 225X00000X U1-0001063 DE Primary

Addresses

Primary practice location

19266 Coastal Hwy
Shops at Sea Coast
Rehoboth Beach, DE 19971-6117

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Roberta Morse Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
U1-0001063DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Physical Therapy & Hand Therapy LLC PastSince Feb 4, 2019 Accepting new patients
A New Path Counseling and Psychotherapy LLC PastSince Dec 17, 2023 Accepting new patients

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1376560037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19266 COASTAL HWY",
            "address_2": "SHOPS AT SEA COAST",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716117",
            "telephone_number": "302-226-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILKO",
        "first_name": "ROBERTA",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00102900",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "MORSE",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.