Active NPI
Andrea Wright, O.T.R./L
- Pediatric Occupational Therapist
- Logan, OH
National Provider Identifier
1407276744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 03331
- Practice address
- 601 State Route 664 N
Logan, OH 43138-8541 - Phone
- (740) 380-8284
- Fax
- (740) 385-2015
- NPI assigned
- Apr 25, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 03331 | OH | Primary |
Addresses
Primary practice location
601 State Route 664 N
Logan, OH 43138-8541
Mailing address
601 State Route 664 N
P.O.Box 966
Logan, OH 43138-8541
Phone (740) 380-8284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | OH | NONE |
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 |
|---|---|---|---|
| 03331 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1407276744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 STATE ROUTE 664 N",
"address_2": "P.O.BOX 966",
"city": "LOGAN",
"state": "OH",
"postal_code": "431388541",
"telephone_number": "740-380-8284",
"fax_number": "740-385-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 STATE ROUTE 664 N",
"city": "LOGAN",
"state": "OH",
"postal_code": "431388541",
"telephone_number": "740-380-8284",
"fax_number": "740-385-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "ANDREA",
"credential": "O.T.R./L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "03331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.