Jessica Wahlberg, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104504 Issued in MN

Practice address

1014 Mainstreet
Pact Institute
Hopkins, MN 55343-7534

Phone

(952) 224-0707

Fax

(952) 224-1612

NPI assigned

Jan 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pediatric Autism & Communication Therapy Institute, Inc.

  • Speech-Language Pathologist
  • Hopkins, MN
  • NPI 1720138589
  NPD (past)

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1437572856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MAINSTREET",
            "address_2": "PACT INSTITUTE",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437534",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MAINSTREET",
            "address_2": "PACT INSTITUTE",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437534",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLBERG",
        "first_name": "JESSICA",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vail Place
• Tonya M Vanhee
• Rachel Elizabeth Johnston Vanoverbeke, LICSW
• Deanna Vastine
• Vellora Home Health LLC
• T'Mara Walford
• Walgreen Co
• Walgreen Co
• Warfa Contractors Inc
• Elizabeth Margaret Weaver, RBT

• Occupational Therapist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.