Active NPI
Ruth Wentz
- Occupational Therapist
- Manchester, NH
National Provider Identifier
1366980526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17015
- Practice address
- 3000 Goffs Falls Rd
Ste 101
Manchester, NH 03111-1000 - Phone
- (800) 995-2673
- NPI assigned
- Feb 8, 2017
- Last updated
- Feb 8, 2017
- 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 Therapist | 225X00000X | 17015 | CA | Primary |
| Occupational Therapist | 225X00000X | 4218 | SC |
Addresses
Primary practice location
3000 Goffs Falls Rd
Ste 101
Manchester, NH 03111-1000
Mailing address
3000 Goffs Falls Rd
Ste 101
Manchester, NH 03111-1000
Phone (800) 995-2673
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4218 | SC | MD | Physical Therapist |
| 17015 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1366980526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 GOFFS FALLS RD",
"address_2": "STE 101",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031111000",
"telephone_number": "800-995-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 GOFFS FALLS RD",
"address_2": "STE 101",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031111000",
"telephone_number": "800-995-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZ",
"first_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-08",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17015",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.