Individual provider Active NPI

Lauren Rachel Wengerd, OTR/L

  • Occupational Therapist
  • Columbus, OH
National Provider Identifier
1356856264
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009118 Issued in OH
Practice address
1432 Elmwood Ave Apt B
Columbus, OH 43212-2759
Phone
(330) 464-9171
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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 OT009118 OH Primary

Addresses

Primary practice location

1432 Elmwood Ave Apt B
Columbus, OH 43212-2759

Mailing address

1432 Elmwood Ave Apt B
Columbus, OH 43212-2759
Phone (330) 464-9171

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
OT009118OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1356856264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 ELMWOOD AVE APT B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122759",
            "telephone_number": "330-464-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 ELMWOOD AVE APT B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122759",
            "telephone_number": "330-464-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGERD",
        "first_name": "LAUREN",
        "middle_name": "RACHEL",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT009118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.