Active NPI
Wendy Lea Hale, MOT, OT/L
- Occupational Therapist
- Addison, TX
National Provider Identifier
1104573328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114608
- Practice address
- 15305 Dallas Pkwy Ste 1200
Addison, TX 75001-6423 - Phone
- (972) 851-1022
- Fax
- (972) 546-3118
- NPI assigned
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 114608 | TX | Primary |
Addresses
Primary practice location
15305 Dallas Pkwy Ste 1200
Addison, TX 75001-6423
Mailing address
2102 Stardust CT
Euless, TX 76040-3763
Phone (972) 533-1073
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114608 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1104573328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 STARDUST CT",
"city": "EULESS",
"state": "TX",
"postal_code": "760403763",
"telephone_number": "972-533-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15305 DALLAS PKWY STE 1200",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016423",
"telephone_number": "972-851-1022",
"fax_number": "972-546-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "WENDY",
"middle_name": "LEA",
"credential": "MOT, OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.