Linda O. Wanaba, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A02196 Issued in MD

Practice address

2225 Old Emmorton Rd Ste 210
Bel Air, MD 21015-6123

Phone

(410) 515-4900

NPI assigned

Nov 11, 2019

Last updated

Nov 11, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Maryland Therapy Network, Inc

  • Speech-Language Pathologist
  • Bel Air, MD
  • NPI 1770611394
  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1639714983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON RD STE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156123",
            "telephone_number": "410-515-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON RD STE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156123",
            "telephone_number": "410-515-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANABA",
        "first_name": "LINDA",
        "middle_name": "O.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Amelia Walker, CRNP
• Shuriah Wallace
• Jonathan Wallender, DPT
• Jennifer Diane Walsh, PT
• Rebecca Rina Walter, DDS
• Donghua Wang, PA-C
• Tam Warczynski, C.R.N.P.
• Alicia Garcia Ward, CRNA
• Erin N Ward, SLP
• Melissa Ann Ward, MT-BC

• Occupational Therapy Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Occupational Therapy Assistant in Maryland

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