Mary M Wiener, M.A.OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014547 Issued in NY

Practice address

165 Brown Place
PS 17
Bronx, NY 10454

Phone

(718) 292-5464

Fax

(718) 665-7910

NPI assigned

Oct 21, 2008

Last updated

Apr 4, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1235381203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 89TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286727",
            "telephone_number": "212-203-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BROWN PLACE",
            "address_2": "PS 17",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10454",
            "telephone_number": "718-292-5464",
            "fax_number": "718-665-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "M.A.OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donn Jay Wiedershine, MD
• Daryl Wieland, MD
• Sylwia Wielgosz
• Blake G Wiener
• Elizabeth Wiener
• Daniel F Wiercinski, RPH
• Laura Wieschaus, LCSW
• Shira Wiesel
• Vered Wiesel, MD
• Jacqueline Bouvier Wigfall, FNP

• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.