Active NPI
Ami Jey Wunderlin-Walden
- Occupational Therapist
- La Grange, KY
National Provider Identifier
1588327944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31008609A
- Practice address
- 4603 Timberwalk CT
La Grange, KY 40031-6746 - Phone
- (502) 249-6829
- NPI assigned
- Oct 21, 2021
- Last updated
- Feb 2, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 26935 | CA | |
| Occupational Therapist | 225X00000X | 267002 | KY | |
| Occupational Therapist | 225X00000X | OT.000851 | CO | |
| Occupational Therapist | 225X00000X | 31008609A | IN | Primary |
Addresses
Primary practice location
4603 Timberwalk CT
La Grange, KY 40031-6746
Mailing address
605 S Fess Ave Apt 1
Bloomington, IN 47401-4972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.79 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 30.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26935 | CA | MD | Occupational Therapist |
| OT.000851 | CO | MD | Occupational Therapist |
| 31008609A | IN | MD | Occupational Therapist |
| 267002 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on Wheels, Inc. | Current | Accepting new patients |
Locations
212 N 2nd St
Ste 100
Richmond, KY 40475
Phone (317) 332-9861
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738454400000",
"number": "1588327944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S FESS AVE APT 1",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474014972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4603 TIMBERWALK CT",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400316746",
"telephone_number": "502-249-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNDERLIN-WALDEN",
"first_name": "AMI",
"middle_name": "JEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2025-02-02",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "26935",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "267002",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.000851",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31008609A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.