Active NPI
Madelyn Louise Van Wyk, OTR/L
- Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1205375714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6898
- Practice address
- 413 E Tremaine Ave
Gilbert, AZ 85234-4623 - Phone
- (480) 456-5022
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 6898 | AZ | Primary |
Addresses
Primary practice location
413 E Tremaine Ave
Gilbert, AZ 85234-4623
Mailing address
8500 E Indian School Rd
Unit 126
Scottsdale, AZ 85251-4955
Phone (641) 777-4736
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6898 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1205375714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 E INDIAN SCHOOL RD",
"address_2": "UNIT 126",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852514955",
"telephone_number": "641-777-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 E TREMAINE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344623",
"telephone_number": "480-456-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN WYK",
"first_name": "MADELYN",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.