Active NPI
Angela Rebholz
- Occupational Therapist
- Wisconsin Rapids, WI
National Provider Identifier
1669857272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3548-26
- Practice address
- 1041 Hill St
Wisconsin Rapids, WI 54494-5221 - Phone
- (715) 424-8521
- NPI assigned
- Jul 24, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3548-26 | WI | Primary |
| Occupational Therapist | 225X00000X | 056004262 | IL | |
| Occupational Therapist | 225X00000X | 01145 | IA |
Addresses
Primary practice location
1041 Hill St
Wisconsin Rapids, WI 54494-5221
Mailing address
1041 Hill St
Wisconsin Rapids, WI 54494-5221
Phone (715) 424-8521
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01145 | IA | MD | Occupational Therapist |
| 056004262 | IL | MD | Occupational Therapist |
| 3548-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1669857272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 HILL ST",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544945221",
"telephone_number": "715-424-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 HILL ST",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544945221",
"telephone_number": "715-424-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBHOLZ",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3548-26",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056004262",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.