Individual provider Active NPI

Wendy Young, OTR

  • Occupational Therapist
  • Kailua Kona, HI
National Provider Identifier
1215609326
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2156 Issued in HI
Practice address
75-165 Hualalai Rd.
Kailua Kona, HI 96740-1714
Phone
(808) 329-0591
Fax
(808) 329-2066
NPI assigned
Sep 28, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2156 HI
Occupational Therapist 225X00000X OT-2156 HI Primary

Addresses

Primary practice location

75-165 Hualalai Rd.
Kailua Kona, HI 96740-1714

Mailing address

75-165 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone (808) 329-0591

Other names 1

  • Wendy Hatfield Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020000954 HI Practitioner - Occupational Therapist in Private Practice 0042608226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaiian Rehabilitation Services IncGroup PAC ID 5799811345, 10 clinicians

Practice addresses (Care Compare)

75 -137 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone (808) 329-0591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-2156HIMDOccupational Therapist
OT2156HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaiian Rehabilitation Services Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

75-165 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-0591

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1215609326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-165 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403722",
            "telephone_number": "808-329-0591",
            "fax_number": "808-329-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-165 HUALALAI RD.",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401714",
            "telephone_number": "808-329-0591",
            "fax_number": "808-329-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WENDY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT2156",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-2156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "HATFIELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.