Active NPI
Krista Lyn Wiener, COTA
- Occupational Therapy Assistant
- Park Falls, WI
National Provider Identifier
1669798922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4600-27
- Practice address
- 250 Lawrence Ave
Park Falls, WI 54552-1431 - Phone
- (715) 762-2449
- Fax
- (715) 762-3321
- NPI assigned
- Apr 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4600-27 | WI | Primary |
Addresses
Primary practice location
250 Lawrence Ave
Park Falls, WI 54552-1431
Mailing address
250 Lawrence Ave
Park Falls, WI 54552-1431
Phone (715) 762-2449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4600-27 | WI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1669798922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 LAWRENCE AVE",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521431",
"telephone_number": "715-762-2449",
"fax_number": "715-762-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 LAWRENCE AVE",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521431",
"telephone_number": "715-762-2449",
"fax_number": "715-762-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENER",
"first_name": "KRISTA",
"middle_name": "LYN",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-12",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "4600-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.