Individual provider Active NPI

Timothy John Wertner, OTR/L

  • Occupational Therapist
  • Wilton, CT
National Provider Identifier
1346655370
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012908 Issued in PA
Practice address
64 Danbury Rd
Ste 100
Wilton, CT 06897-4429
Phone
(800) 278-0332
NPI assigned
Jun 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC012908 PA Primary

Addresses

Primary practice location

64 Danbury Rd
Ste 100
Wilton, CT 06897-4429

Mailing address

7157 Angle Rd
Chambersburg, PA 17202-9240
Phone (717) 504-2862

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
OC012908PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1346655370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 ANGLE RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172029240",
            "telephone_number": "717-504-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 DANBURY RD",
            "address_2": "STE 100",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974429",
            "telephone_number": "800-278-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTNER",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2014; 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.