Wendy Ann Behr, COTA/L

Key facts

NPI

1487978375

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

2285 (SC)

Practice address

138 Old Carriage Rd
Clover, SC 29710-9374

Phone

(803) 222-5462

NPI assigned

Mar 21, 2010

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2010.

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269129600000",
    "number": "1487978375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 OLD CARRIAGE RD",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297109374",
            "telephone_number": "803-222-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 OLD CARRIAGE RD",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297109374",
            "telephone_number": "803-222-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHR",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Clover, SC · Occupational Therapy Assistant in South Carolina