Individual provider Active NPI

Wendy Greene, OTR/L

  • Occupational Therapist
  • Hagerstown, MD
National Provider Identifier
1104900976
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
02538 Issued in MD
Practice address
20501 Quiet Valley CT # 201
Hagerstown, MD 21742-3185
Phone
(404) 093-7362
Fax
(855) 232-8604
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 02538 MD Primary

Addresses

Primary practice location

20501 Quiet Valley CT # 201
Hagerstown, MD 21742-3185

Mailing address

20501 Quiet Valley CT # 201
Hagerstown, MD 21742-3185
Phone (404) 093-7362

Other practice location 1

11110 Medical Campus Rd
201
Hagerstown, MD 21742-6700
Phone (300) 714-4025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311003906 FL Practitioner - Occupational Therapist in Private Practice 2860913431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02538MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC CurrentSince Mar 1, 2025 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1104900976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 QUIET VALLEY CT # 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423185",
            "telephone_number": "404-093-7362",
            "fax_number": "855-232-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 QUIET VALLEY CT # 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423185",
            "telephone_number": "404-093-7362",
            "fax_number": "855-232-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11110 Medical Campus Rd",
            "address_2": "201",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426700",
            "country_code": "US",
            "telephone_number": "300-714-4025",
            "fax_number": "301-714-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "WENDY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "02538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.