Organization Active NPI

See the Good Occupational Therapy and Wellness

  • Low Vision Occupational Therapist
  • Waconia, MN
National Provider Identifier
1760149439
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
Legal business name
SEE THE GOOD OCCUPATIONAL THERAPY AND WELLNESS
Practice address
1641 Interlaken CT
Waconia, MN 55387-2202
Phone
(320) 492-9356
Fax
(612) 206-8674
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Abbey Marie Rolf, MA, OTR/LNPI 1881801215
Title
Owner
Phone
(320) 492-9356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X
Low Vision Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XL0004X Primary

Addresses

Primary practice location

1641 Interlaken CT
Waconia, MN 55387-2202

Mailing address

1641 Interlaken CT
Waconia, MN 55387-2202
Phone (320) 492-9356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318001227 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567856784 Receives reassigned benefits from 1 practitioner
Practice locations: Waconia, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1760149439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 INTERLAKEN CT",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553872202",
            "telephone_number": "320-492-9356",
            "fax_number": "612-206-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 INTERLAKEN CT",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553872202",
            "telephone_number": "320-492-9356",
            "fax_number": "612-206-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEE THE GOOD OCCUPATIONAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "ROLF",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-492-9356",
        "authorized_official_credential": "MA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.