Individual provider Active NPI

Tanya Wennmacher

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1386176931
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17286 Issued in CA
Practice address
50 Avenue P
Brooklyn, NY 11204-6105
Phone
(718) 621-2730
NPI assigned
Apr 3, 2017
Reactivated
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 17286 CA Primary

Addresses

Primary practice location

50 Avenue P
Brooklyn, NY 11204-6105

Mailing address

5115 13TH Ave Apt 2DD
Brooklyn, NY 11219-3567

Other practice location 1

5310 Fountain Ave
Fountain View Subacute and Nursing Center
Los Angeles, CA 90029-1005
Phone (323) 461-9961

Other practice location 2

3391 Richmond Ave
Staten Island, NY 10312-2025
Phone (718) 608-9170

Other practice location 3

5310 Fountain Ave
Fountain View Subacute and Nursing Center
Los Angeles, CA 90029-1005
Phone (323) 461-9961

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1386176931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 13TH AVE APT 2DD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046105",
            "telephone_number": "718-621-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Fountain Ave",
            "address_2": "Fountain View Subacute and Nursing Center",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900291005",
            "country_code": "US",
            "telephone_number": "323-461-9961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3391 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103122025",
            "country_code": "US",
            "telephone_number": "718-608-9170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5310 Fountain Ave",
            "address_2": "Fountain View Subacute and Nursing Center",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900291005",
            "country_code": "US",
            "telephone_number": "323-461-9961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENNMACHER",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2018-07-17",
        "deactivation_date": "2017-07-07",
        "reactivation_date": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.