Active NPI
Rochelle Mary Welberg, COTA/L
- Occupational Therapy Assistant
- Milbank, SD
National Provider Identifier
1558656249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 228A
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 228A | SD | MD | Occupational Therapy Assistant |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 228A | SD | Primary |
Addresses
NPPES NPI RegistryPrimary 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.