Active NPI
Tanya Wennmacher
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1386176931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.