Wendy Marie Koca, COTA/L

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60824646 Issued in WA

Practice address

101 N Wynoochee Dr SW
Ocean Shores, WA 98569-0776

Phone

(509) 876-6600

NPI assigned

Jul 27, 2007

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1639369317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985690776",
            "telephone_number": "509-876-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WYNOOCHEE DR SW",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985690776",
            "telephone_number": "509-876-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 N Wynoochee Dr SW",
            "address_purpose": "LOCATION",
            "city": "Ocean Shores",
            "state": "WA",
            "postal_code": "985699621",
            "country_code": "US",
            "telephone_number": "360-589-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCA",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC00001243",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60824646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Ocean Shores, WA
• Providers in Ocean Shores, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.