Alyssa Beth Wienke, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013036 Issued in IL

Practice address

2990 Raffel Rd
Woodstock, IL 60098-8466

Phone

(815) 338-8200

NPI assigned

Feb 22, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

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.

• Woodstock School District

  • Local Education Agency (LEA)
  • Woodstock, IL
  • NPI 1598934176
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1376044693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601400361",
            "telephone_number": "847-417-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 RAFFEL RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600988466",
            "telephone_number": "815-338-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36397 N Gantzel Rd",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407335",
            "country_code": "US",
            "telephone_number": "480-567-2987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIENKE",
        "first_name": "ALYSSA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "7389",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine R Watson, PA-C
• Barbara Webb, LCSW
• Well-Rooted Functional Medicine
• Barbara Wetzstein
• Whitney Behm DMD, LLC
• Lisa Ann Winkelhake, CNA
• Kelly Marie Winkelman, APRN, ANP-BC
• Cheryl R Winkelmann, LPC
• Mary Jo Winkenwerder, RD, LD
• Within Holistic Counseling

• Occupational Therapist in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.