Individual provider Active NPI

Jennifer Lynne Wifler, OTR

  • Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1235613167
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6150 Issued in AZ
Practice address
8608 E Plaza Ave
Scottsdale, AZ 85250-6709
Phone
(480) 540-6073
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6150 AZ Primary

Addresses

Primary practice location

8608 E Plaza Ave
Scottsdale, AZ 85250-6709

Mailing address

8608 E Plaza Ave
Scottsdale, AZ 85250-6709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227000221 AZ Practitioner - Occupational Therapist in Private Practice 5294169231 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6150AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare PLLC Occupational Therapist CurrentSince Oct 15, 2019 Accepting new patients
Heartland Therapy, Inc. CurrentSince Oct 15, 2019 Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1235613167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 E PLAZA AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 E PLAZA AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506709",
            "telephone_number": "480-540-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIFLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.