Sally Widmann, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT010001788 Issued in DC

Practice address

5111 Connecticut Ave NW
Washington, DC 20008-2004

Phone

(609) 513-5690

NPI assigned

Nov 23, 2020

Last updated

Dec 10, 2020By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1285238097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082004",
            "telephone_number": "609-513-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082004",
            "telephone_number": "609-513-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Columbia Pike Apt 229",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222045902",
            "country_code": "US",
            "telephone_number": "609-513-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDMANN",
        "first_name": "SALLY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010001788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wicks Psychotherapy
• Tierah Wideman
• Bailey R Widener, OTR/L
• Judith Wides, M.A., M.ED
• Alicia Widge
• Eric Anthony Widra, M.D.
• Kristen Renae Wiebe, FNP-BC
• Jenna Kate Wiederhold
• A Roger Wiederhorn, MD
• Bernhard Louis Wiedermann, MD

• Occupational Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Occupational Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.