Audrey Waechter

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1921 W Irving Park Rd
Chicago, IL 60613-2407

Phone

(312) 243-8487

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Blue Bird Day LLC

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1588030621

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1427890862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 W SAINT HELEN ST # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132407",
            "telephone_number": "312-243-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAECHTER",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Wadley
• Cassandra Wadlington, RN
• Euka W Wadlington
• Hannah Wadsworth, BA
• Tracy Wadsworth, MD, MS
• Amy Elizabeth Wagenaar
• Brian Wagenaar, M.D.
• Darrel Waggoner
• David Waggoner, DO
• Jacob Waggoner

• Pediatric Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.