Active NPI
Deborah Ann Wolk, OTR
- Occupational Therapist
- Ste.Genevieve, MO
National Provider Identifier
1639356686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2001015715
- Practice address
- 21964 Highway 32
Ste.Genevieve, MO 63670 - Phone
- (573) 883-9366
- Fax
- (573) 883-9377
- NPI assigned
- Jan 22, 2008
- Last updated
- Feb 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2001015715 | MO | Primary |
Addresses
Primary practice location
21964 Highway 32
Ste.Genevieve, MO 63670
Mailing address
21964 Highway 32
Ste.Genevieve, MO 63670
Phone (573) 883-9366
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 |
|---|---|---|---|
| 2001015715 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid America Rehab, P.C. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1639356686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21964 HIGHWAY 32",
"city": "STE.GENEVIEVE",
"state": "MO",
"postal_code": "63670",
"telephone_number": "573-883-9366",
"fax_number": "573-883-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21964 HIGHWAY 32",
"city": "STE.GENEVIEVE",
"state": "MO",
"postal_code": "63670",
"telephone_number": "573-883-9366",
"fax_number": "573-883-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2001015715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.