Kenni Danielle Wieskamp

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-010109 Issued in AZ

Practice address

41810 N Venture Dr Unit C120
Anthem, AZ 85086-3172

Phone

(623) 212-1000

NPI assigned

Sep 9, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kenni Hawkins Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spooner Physical Therapy and Hand Rehab, PCGroup PAC ID 3476440447, 202 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1184730095

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Spooner Physical Therapy and Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Rockwall, TX
  • NPI 1184465650
  NPD
• Spooner Physical Therapy & Hand Rehab, PC

  • Clinic/Center
  • Anthem, AZ
  • NPI 1447022959
  NPD (past)
• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1871264242
  NPD (past)

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1235010190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "480-937-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR UNIT C120",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863172",
            "telephone_number": "623-212-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESKAMP",
        "first_name": "KENNI",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-010109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNI",
            "last_name": "HAWKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walmart Inc.
• Deborah Lynn Wang, R.N.
• Alison Ward, PSY.D.
• Andrew C Wen, L.AC.
• Western Med Group LLC
• William D Fishco DPM
• William D Fishco DPM PC
• Aaron H Williams, PT, DPT
• Ben Michael Williams, MD
• Kendra K Williams, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.