Individual provider Active NPI

Abbey Marie Rolf, M.A., OTR/L

  • Low Vision Occupational Therapist
  • Waconia, MN
National Provider Identifier
1881801215
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
103426 Issued in MN
Practice address
1641 Interlaken CT
Waconia, MN 55387-2202
Phone
(612) 200-2640
NPI assigned
May 16, 2007
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 103426 MN
Low Vision Occupational Therapist 225XL0004X 103426 MN 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
I20120417000052 MN Practitioner - Occupational Therapist in Private Practice 6002077138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
103426MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
See the Good Occupational Therapy and Wellness Single Specialty CurrentSince Mar 6, 2022 Accepting new patients
Laboratory Corportation of America Holdings PastSince Jun 13, 2016 Accepting new patients

Organizations & group practices 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1881801215",
    "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": "612-200-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLF",
        "first_name": "ABBEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103426",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "MN",
            "license": "103426",
            "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.