Holly Ann Wertel, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2620 Issued in AZ

Practice address

6309 E Baywood Ave
Mesa, AZ 85206-1744

Phone

(480) 325-3801

Fax

(480) 325-3805

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• JWG, Inc

  • Physical Therapist
  • Mesa, AZ
  • NPI 1467599035
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164512901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 S CHAPARRAL RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852193650",
            "telephone_number": "480-632-5649",
            "fax_number": "480-344-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061744",
            "telephone_number": "480-325-3801",
            "fax_number": "480-325-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTEL",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00144955",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Wendt
• Wendy Hart PH.D., PC
• Rhett Peyton Wengert
• Janice Wentworth, APRN
• Morgan Tyler Wenzelman, FNP-BC
• Joseph L Werther, M.D
• Christina Ruth Wesch, RN, BSN
• Daniel Richard Wesely, D.D.S.
• Wesley Community Center, Inc
• Wesley Community Center, Inc

• Occupational Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.