Active NPI
Wei Wang, OTR
- Occupational Therapist
- Cumming, GA
National Provider Identifier
1235757063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007760
- Practice address
- 4150 Deputy Bill Cantrell Memorial Rd
Suite T200
Cumming, GA 30040 - Phone
- (470) 839-3041
- Fax
- (317) 520-8200
- NPI assigned
- Jul 8, 2020
- Last updated
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007760 | GA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT007760 | GA |
Addresses
Primary practice location
4150 Deputy Bill Cantrell Memorial Rd
Suite T200
Cumming, GA 30040
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
4000 Smithtown Rd Ste 200
Suwanee, GA 30024-6560
Phone (470) 632-4990
Other practice location 2
2001 Church Ln
Villa Rica, GA 30180-4720
Phone (770) 459-6533
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007760 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1235757063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
"address_2": "SUITE T200",
"city": "CUMMING",
"state": "GA",
"postal_code": "30040",
"telephone_number": "470-839-3041",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "4000 Smithtown Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Suwanee",
"state": "GA",
"postal_code": "300246560",
"country_code": "US",
"telephone_number": "470-632-4990",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Church Ln",
"address_purpose": "LOCATION",
"city": "Villa Rica",
"state": "GA",
"postal_code": "301804720",
"country_code": "US",
"telephone_number": "770-459-6533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "WEI",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2021-02-22",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007760",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT007760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.