Active NPI
Tanya Nichole Wentworth, OTR
- Pediatric Occupational Therapist
- Castle Rock, CO
National Provider Identifier
1558533208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1000234
- Practice address
- 701 Prairie Hawk Dr
Castle Rock, CO 80109-8001 - Phone
- (303) 387-0100
- NPI assigned
- Apr 1, 2008
- Last updated
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1000234 | MD | Primary |
Addresses
Primary practice location
701 Prairie Hawk Dr
Castle Rock, CO 80109-8001
Mailing address
701 Prairie Hawk Dr
Castle Rock, CO 80109-8001
Phone (303) 387-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000234 | MD | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1558533208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PRAIRIE HAWK DR",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801098001",
"telephone_number": "303-387-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PRAIRIE HAWK DR",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801098001",
"telephone_number": "303-387-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTWORTH",
"first_name": "TANYA",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MD",
"license": "1000234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.