Wanda G Maixner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46 Issued in ND

Practice address

305 8TH Ave NE
Minot, ND 58703-2624

Phone

(701) 857-5905

Fax

(701) 857-5908

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1609059880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 5TH ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 8TH AVE NE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032624",
            "telephone_number": "701-857-5905",
            "fax_number": "701-857-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIXNER",
        "first_name": "WANDA",
        "middle_name": "G",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "AA393504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDSBOTP",
            "identifier": "46",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark William Maercklein, DDS
• Keyana M Magee, CNA
• Theresa Magelky, PH.D
• Lesley Carol Magnus, PH.D.
• Madison Magnuson, MS, SLP
• Janice Marie Majeske I, RN
• Aaron Patrick Makens, MD
• Edward John Malazdrewicz, AUD FAAA
• Renu Malhi, MD
• Audrey Marie Maline

• Occupational Therapist in Minot, ND
• Providers in Minot, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.