Active NPI
Wendy Hardison, COTA
- Occupational Therapy Assistant
- Freeport, NY
National Provider Identifier
1306354725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0094254
- Practice address
- 320 W Merrick Rd
Freeport, NY 11520-3248 - Phone
- (216) 526-7675
- NPI assigned
- Jan 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 006921 | OH | |
| Occupational Therapy Assistant | 224Z00000X | 0094254 | NY | Primary |
Addresses
Primary practice location
320 W Merrick Rd
Freeport, NY 11520-3248
Mailing address
4730 Bentwood Dr
Brooklyn, OH 44144
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 |
|---|---|---|---|
| 0094254 | NY | MD | Occupational Therapy Assistant |
| 006921 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1306354725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 BENTWOOD DR",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "44144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W MERRICK RD",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203248",
"telephone_number": "216-526-7675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDISON",
"first_name": "WENDY",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "006921",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "0094254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, NY
- Haitian American Family of Long Island
- Larissa Hema Hall Ramos, LCAT, ATR-BC
- Joliette Alicia Hall-Woods, LMSW
- Brian Halton, R.D.
- Desiree M. Hamilton, CASAC, ICADC
- Harmony Health Care Long Island
- Harmony Health Care Long Island
- Etta Harper, REGISTERED OCCUPATIO
- Madisan Simone Haslam, LPN
- Horace A Hawthorne, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.