Angela Wistrick, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61635659 Issued in WA

Practice address

805 W Orchard Dr Ste 2
Bellingham, WA 98225-1759

Phone

(360) 354-5245

Fax

(360) 354-7796

NPI assigned

Mar 28, 2019

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)

Not 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.

• Lynden Therapy Specialists, Inc.

  • Hand Occupational Therapist
  • Lynden, WA
  • NPI 1023197100
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1417418781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST STE B2",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ORCHARD DR STE 2",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251759",
            "telephone_number": "360-354-5245",
            "fax_number": "360-354-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Grover St Ste B2",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982641539",
            "country_code": "US",
            "telephone_number": "360-752-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISTRICK",
        "first_name": "ANGELA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118169",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61635659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leigh Wisbey
• Beckie Lavern Wisdom
• Olivia Wise, LMT
• David E Wisner, M.D
• Steven P. Wisner, M.D.
• Melissa Ann Witecki, DDS
• Victoria Witrak
• Laura R Witt, LMHC
• Brenden M Witte, ND
• Carmen Louise Witte, R.D.H.

• Occupational Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.