Kendra Vander Wal, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1464 Issued in ND

Practice address

6970 S Holly Cir Ste 200
Centennial, CO 80112-1066

Phone

(720) 287-4185

NPI assigned

Mar 17, 2016

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

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1467813451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13863 E LEHIGH AVE APT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146134",
            "telephone_number": "701-400-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 S HOLLY CIR STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121066",
            "telephone_number": "720-287-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585012066",
            "country_code": "US",
            "telephone_number": "701-222-3175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDER WAL",
        "first_name": "KENDRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ND",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Van Portfliet, DPT
• Chelsea Van Zytveld, PT, DPT
• Krista Marie Vanallen, LPCC
• Danny Nguyen Vandan, O.D.
• Troy Vanden Broeke, L.P.C.
• Barbara Vanhorn, AU.D.
• Peter Alan Vanicek, D.D.S.
• Emily Vanmeter, M.S. CF-SLP
• Melissa Vannorman, MT 0011975
• Annette Vanvleet, LCSW

• Pediatric Occupational Therapist in Centennial, CO
• Providers in Centennial, CO by specialty
• Pediatric Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.