Robyn Louise Vande Berg, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

564027 Issued in WI

Practice address

3415 Sheridan Rd
Kenosha, WI 53140-1924

Phone

(262) 657-6175

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1992998132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 BOBOLINK RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534021397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401924",
            "telephone_number": "262-657-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE BERG",
        "first_name": "ROBYN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "564027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V. Stephen Slana, M.D., S.C.
• Noemi Valentin, RN
• Irene Valerio, M.D., RCEP
• Erin Ann Van Valkenburgh, RDN
• Therese Vanbuskirk
• Heidi Vandenberg
• Marcia Joan Vandenheuvel, PT
• Joely Vanlaarhoven, LPC-IT
• Janice Alberdiena Vanniel, PSY.D.
• Timothy Francis Vanpamel

• Occupational Therapy Assistant in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.