Individual provider Active NPI

Shawn Wenzel, LOTR, CLVT

  • Low Vision Occupational Therapist
  • New Orleans, LA
National Provider Identifier
1659086841
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
OTT.Z11779 Issued in LA
Practice address
123 State St
New Orleans, LA 70118-5733
Phone
(504) 899-4501
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapist 225XL0004X OTT.Z11779 LA Primary

Addresses

Primary practice location

123 State St
New Orleans, LA 70118-5733

Mailing address

123 State St
New Orleans, LA 70118-5733
Phone (504) 899-4501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427000169 LA Practitioner - Occupational Therapist in Private Practice 3375908304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 State St
New Orleans, LA 70118-5733
Phone 5048994501231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTT.Z11779LAMDLow Vision Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse for the Blind in New Orleans CurrentSince Apr 6, 2023 Accepting new patients

Locations

301 Main St
Ste 150
Baton Rouge, LA 70801
Phone (225) 529-2749

123 State St
New Orleans, LA 70118
Phone (504) 899-4501

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1659086841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 STATE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185733",
            "telephone_number": "504-899-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 STATE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185733",
            "telephone_number": "504-899-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "SHAWN",
        "credential": "LOTR, CLVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "LA",
            "license": "OTT.Z11779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.