Individual provider Active NPI

Rochelle Mary Welberg, COTA/L

  • Occupational Therapy Assistant
  • Milbank, SD
National Provider Identifier
1558656249
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
228A Issued in SD
Practice address
1103 S 2ND St
Milbank, SD 57252-3304
Phone
(605) 432-4556
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
228ASDMDOccupational Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 228A SD Primary

Addresses

NPPES NPI Registry

Primary practice location

1103 S 2ND St
Milbank, SD 57252-3304

Mailing address

107 Vista Dr
Milbank, SD 57252-3207
Phone (605) 432-4556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2011.

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1558656249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VISTA DR",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572523207",
            "telephone_number": "605-432-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S 2ND ST",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572523304",
            "telephone_number": "605-432-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBERG",
        "first_name": "ROCHELLE",
        "middle_name": "MARY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SD",
            "license": "228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.