Provider Demographics
NPI:1134003601
Name:ON THE ROAD, LLC
Entity type:Organization
Organization Name:ON THE ROAD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOSEPKA
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L, DRP
Authorized Official - Phone:605-939-1637
Mailing Address - Street 1:3213 W MAIN ST PMB 146
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-5770
Mailing Address - Country:US
Mailing Address - Phone:605-939-1637
Mailing Address - Fax:605-939-7183
Practice Address - Street 1:2507 SPRINGBROOK RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-7064
Practice Address - Country:US
Practice Address - Phone:605-939-1637
Practice Address - Fax:605-939-7183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community MobilityGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty