Individual provider Active NPI

Brenda Lee Wardner, OTR/L

  • Occupational Therapist
  • Saint Albans, VT
National Provider Identifier
1275895393
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
072.0099415 Issued in VT
Practice address
596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone
(802) 524-6534
NPI assigned
Jun 14, 2012
Last updated
May 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017073-1 NY
Occupational Therapist 225X00000X 2500 NH
Occupational Therapist 225X00000X 10207 MA
Occupational Therapist 225X00000X 072.0099415 VT Primary

Addresses

Primary practice location

596 Sheldon Rd
Saint Albans, VT 05478-8011

Mailing address

1750 W Broadway St Ste 219
Oviedo, FL 32765-9618
Phone (800) 226-9917

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

LicenseStateTypeSpecialty
2500NHMDPharmacist
017073-1NYMDOccupational Therapist
072.0099415VTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegiant Healthcare Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1275895393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W BROADWAY ST STE 219",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659618",
            "telephone_number": "800-226-9917",
            "fax_number": "800-224-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 SHELDON RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054788011",
            "telephone_number": "802-524-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDNER",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017073-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2500",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10207",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0099415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.