Jennifer Claire Walberg, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.013013 Issued in IL

Practice address

1508 Halo Dr
Mahomet, IL 61853-7441

Phone

(612) 219-3764

NPI assigned

May 21, 2015

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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.

• Rehabcare Group East, LLC

  • Physical Medicine & Rehabilitation Physician
  • Waco, TX
  • NPI 1215806898
  NPD (past)
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Plymouth, MN
  • NPI 1669425823
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1548649676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HALO DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618537441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 HALO DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618537441",
            "telephone_number": "612-219-3764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Coon Rapids Blvd NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554335645",
            "country_code": "US",
            "telephone_number": "763-767-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALBERG",
        "first_name": "JENNIFER",
        "middle_name": "CLAIRE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.013013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Lynn Thomas, RPH
• Spencer Evan Threw, D.O.
• Valerie Woodruff DDS PC
• Tessa Valeu, LSW
• Kari Rose Veldman, DTH
• Walgreen Co
• Walgreen Co
• Walgreen Co.
• Walk Chiropractic and Acupuncture, Inc.
• Daniel L Walk, D.C.

• Pediatric Occupational Therapist in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.