Organization Active NPI

Beth Rolfsen LLC

  • Pediatric Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1861287609
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
BETH ROLFSEN LLC
Practice address
3901 Emerald Dr Ste D
Kalamazoo, MI 49001-7923
Phone
(269) 443-2342
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Beth RolfsenNPI 1306050968
Title
Ms, Otr/L
Phone
(734) 754-0668

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

3901 Emerald Dr Ste D
Kalamazoo, MI 49001-7923

Mailing address

8576 Swan St
Kalamazoo, MI 49009-4563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423000772 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557886462 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1861287609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8576 SWAN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490094563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 EMERALD DR STE D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490017923",
            "telephone_number": "269-443-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ROLFSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "ROLFSEN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "MS, OTR/L",
        "authorized_official_telephone_number": "734-754-0668"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.