NPIMap

Individual provider Active NPI

Janelle J Rolls, OTRL

  • Occupational Therapy Assistant
  • Alliance, NE
National Provider Identifier
1720199847
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
415 Issued in NE
Practice address
407 Black Hills Avenue
Alliance, NE 69301-3243
Phone
(308) 762-6564
Fax
(308) 762-3747
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 415 NE Primary

Addresses

Primary practice location

407 Black Hills Avenue
Alliance, NE 69301-3243

Mailing address

407 Black Hills Avenue
Alliance, NE 69301-3243
Phone (308) 762-6564

Other names 1

  • Janelle J Wakelin Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Physical Therapy 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1720199847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BLACK HILLS AVENUE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013243",
            "telephone_number": "308-762-6564",
            "fax_number": "308-762-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BLACK HILLS AVENUE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013243",
            "telephone_number": "308-762-6564",
            "fax_number": "308-762-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLS",
        "first_name": "JANELLE",
        "middle_name": "J",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NE",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "WAKELIN",
            "middle_name": "J",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.