Individual provider Active NPI

Robert G. Wiechec, OTR/L

  • Occupational Therapist
  • North Tonawanda, NY
National Provider Identifier
1003071481
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007080-1 Issued in NY
Practice address
51 Brundage Ave
North Tonawanda, NY 14120-1703
Phone
(716) 695-6604
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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 007080-1 NY Primary

Addresses

Primary practice location

51 Brundage Ave
North Tonawanda, NY 14120-1703

Mailing address

51 Brundage Ave
North Tonawanda, NY 14120-1703
Phone (716) 695-6604

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1003071481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BRUNDAGE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201703",
            "telephone_number": "716-695-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BRUNDAGE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201703",
            "telephone_number": "716-695-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECHEC",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007080-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.