Individual provider Active NPI

Amyjo L. Verbeten, OT

  • Occupational Therapist
  • Janesville, WI
National Provider Identifier
1932388097
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3627-026 Issued in WI
Practice address
1000 Mineral Point Ave
Janesville, WI 53548
Phone
(608) 756-6842
Fax
(608) 741-6953
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3627-026 WI Primary

Addresses

Primary practice location

1000 Mineral Point Ave
Janesville, WI 53548

Mailing address

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6842

Other practice location 1

1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 365-7500

Other practice location 2

20 Marshall Pl
Janesville, WI 53545-4031
Phone (608) 921-2034

Other names 1

  • Amyjo L. Ruthe 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

State licenses

LicenseStateTypeSpecialty
3627-026WIMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: averbeten48300@direct.mhemail.org

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1932388097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6842",
            "fax_number": "608-741-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53548",
            "telephone_number": "608-756-6842",
            "fax_number": "608-741-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 W Hart Rd",
            "address_purpose": "LOCATION",
            "city": "Beloit",
            "state": "WI",
            "postal_code": "535112230",
            "country_code": "US",
            "telephone_number": "608-365-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Marshall Pl",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535454031",
            "country_code": "US",
            "telephone_number": "608-921-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERBETEN",
        "first_name": "AMYJO",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3627-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMYJO",
            "last_name": "RUTHE",
            "middle_name": "L.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.