Active NPI
Amy Sue Wenger, OT
- Ergonomics Occupational Therapist
- Cedar Rapids, IA
National Provider Identifier
1265530109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ergonomics Occupational Therapist
- License
- 00644
- Practice address
- 600 7TH St SE
Cedar Rapids, IA 52401-2112 - Phone
- (319) 398-1700
- Fax
- (319) 398-1749
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ergonomics Occupational Therapist | 225XE1200X | 00644 | IA | Primary |
Addresses
Primary practice location
600 7TH St SE
Cedar Rapids, IA 52401-2112
Mailing address
600 7TH St SE
Cedar Rapids, IA 52401-2112
Phone (319) 398-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665430 | Medicaid | IA |
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 |
|---|---|---|---|
| 00644 | IA | MD | Ergonomics Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265530109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 7TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012112",
"telephone_number": "319-398-1700",
"fax_number": "319-398-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 7TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012112",
"telephone_number": "319-398-1700",
"fax_number": "319-398-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "AMY",
"middle_name": "SUE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "IA",
"license": "00644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665430",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.