Luz Esperanza Van Wieren, MS,OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14378 Issued in NC

Practice address

2425 Satchel LN
Concord, NC 28027-2860

Phone

(855) 360-9433

Fax

(704) 793-6308

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Lifetouchtherapy, PLLC

  • Occupational Therapist
  • Concord, NC
  • NPI 1568716868
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1295955631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 SATCHEL LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272860",
            "telephone_number": "855-360-9433",
            "fax_number": "704-793-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SATCHEL LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272860",
            "telephone_number": "855-360-9433",
            "fax_number": "704-793-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WIEREN",
        "first_name": "LUZ",
        "middle_name": "ESPERANZA",
        "credential": "MS,OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00371800",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole N Valentine, LCSW
• Geetha D Vallabhaneni, MD
• Katherine Cyran Van Poppel, MD
• Jan A Van Ravesteyn, MD
• Geoffrey Benjamin Van Waveren, LCSW
• Barbara Van, OD
• Jocelyn Vanburen
• Ashlyn Vanderburg
• Macy Vanderburg, BCBA
• Tim S. Vandergast, MA, NCC

• Occupational Therapist in Concord, NC
• Providers in Concord, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.