Alayna Wirth

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

706 Rogers St
Waterloo, IL 62298-1780

Phone

(618) 939-7761

NPI assigned

Nov 25, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wonder Works Pediatric Therapy P.C.

  • Speech-Language Pathologist
  • Waterloo, IL
  • NPI 1649022518

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1053137083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GEMSTONE DR",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622602284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROGERS ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981780",
            "telephone_number": "618-939-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "ALAYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas S Wightman, R.PH
• Debra Wilkerson, LPN
• Tyra Christine Williams, RSA
• Willow Tree Speech Therapy
• Jacqueline Ellen Wilson, MAQMHP
• Shanna Witges, APRN NP-C
• Diana Wittenbrink, MHP
• Wonder Works Pediatric Therapy P.C.
• Charles Justin Wood
• Glenn Woodcock, RSA

• Occupational Therapist in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.