Melissa Wawrzyniak

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21043 Issued in FL

Practice address

4630 17TH St
Sarasota, FL 34235-1843

Phone

(941) 487-5400

NPI assigned

Dec 5, 2018

Sex

Female

Sole proprietor

Yes

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.

• SK Therapy Associates, Inc.

  • Occupational Therapist
  • Chattanooga, TN
  • NPI 1033787411

  Multi-Specialty

  NPD (past)
• Special Kids Inc

  • Physical Therapist
  • Murfreesboro, TN
  • NPI 1851328082

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1467923201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 BOSTON COMMON GLN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342118494",
            "telephone_number": "248-469-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-487-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRZYNIAK",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6040",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B. Watts, M.D.
• Keri Watts, MS, CCC-SLP
• Renita Watts, MA38720
• Onelys Waugh
• Waveform Wellness Services, LLC.
• Wayne Golden OD PA
• Jack J Wazen, MD
• Laura Jane Wazen, DPT
• We Care SRQ
• Tina Marie Weaver, COTA/L

• Occupational Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.