Active NPI
Aidan Wawchuk
- Occupational Therapist
- McKinney, TX
National Provider Identifier
1407200199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 117536
- Practice address
- 5701 Virginia Pkwy
McKinney, TX 75071-5652 - Phone
- (972) 905-4333
- NPI assigned
- Apr 19, 2016
- 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 | 117536 | TX | Primary |
Addresses
Primary practice location
5701 Virginia Pkwy
McKinney, TX 75071-5652
Mailing address
1021 Point Vista Rd
Apt 3204
Hickory Creek, TX 75065-7647
Phone (940) 279-1391
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117536 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1407200199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 POINT VISTA RD",
"address_2": "APT 3204",
"city": "HICKORY CREEK",
"state": "TX",
"postal_code": "750657647",
"telephone_number": "940-279-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 VIRGINIA PKWY",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750715652",
"telephone_number": "972-905-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAWCHUK",
"first_name": "AIDAN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.