Annah Wang

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6085 Issued in MN

Practice address

419 Atlantic Ave
Thief River Falls, MN 56701-2044

Phone

(218) 416-1482

NPI assigned

May 27, 2024

Sex

Female

Sole proprietor

No

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 MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pediatric Therapy Partners, Inc.

  • Occupational Therapist
  • Thief River Falls, MN
  • NPI 1457479958
  Medicare reassignment NPD

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1649010893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W BRIDGE AVE",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567621407",
            "telephone_number": "701-680-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ATLANTIC AVE",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012044",
            "telephone_number": "218-416-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Vandeventer
• Ashley Nicole Vettleson, PA-C
• David Vonholtum
• Wendell A Wall, MD
• Walmart Inc.
• Stephanie A Weyrauch, DPT
• Whistling Pines Health & Wellness PLLC
• Steven Richard Wiseth, D.C.
• Duane Ross Wolff, D.C.
• Valerie Yarmouth, LCSW

• Occupational Therapist in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.