Active NPI
Roberta Wasilko, O.T.
- Occupational Therapist
- Rehoboth Beach, DE
National Provider Identifier
1376560037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U1-0001063
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0001063 | DE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Physical Therapy & Hand Therapy LLC | Past | Accepting new patients | |
| A New Path Counseling and Psychotherapy LLC | Past | 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.
-
- Clinical Social Worker
- Somerville, NJ
- NPI 1053189795
-
- Massage Therapist
- Somerville, NJ
- NPI 1932146081
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.