Wanda L Lunden, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT6630 Issued in FL

Practice address

1490 Whitman Dr
Melbourne, FL 32904-8749

Phone

(321) 557-2562

Fax

(321) 327-2102

NPI assigned

Aug 24, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595

  FL, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Ap Therapy LLC

  • Physical Therapist
  • Englewood Cliffs, NJ
  • NPI 1699552646

  FL, Occupational Therapist

  Medicare reassignment NPD
• Ap Therapy LLC

  • Physical Therapist
  • League City, TX
  • NPI 1821823717

  Occupational Therapist

  NPD
• PTS Staffing LLC

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1205037793
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1619084902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 WHITMAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048749",
            "telephone_number": "321-557-2562",
            "fax_number": "321-327-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 WHITMAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048749",
            "telephone_number": "321-557-2562",
            "fax_number": "321-327-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEN",
        "first_name": "WANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT6630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanik Luis-Roig, MD
• Jacqueline A Luker, ARNP
• Linnette Luna, AU.D
• Madelaine Marie Luna
• Violeta Luna, LMHC, NCC
• Fred A Lundquist, OD
• Lunella Enterprises
• Giovanni Lupo, MD
• Valeria Lupo
• Aurora Lusardi

• All providers in Melbourne, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.