Active NPI
Michael Joseph Wainwright
- Occupational Therapist
- Webster, NY
National Provider Identifier
1699281105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0207641
- Practice address
- 1550 Empire Blvd
Webster, NY 14580-2104 - Phone
- (585) 671-4300
- NPI assigned
- Dec 19, 2017
- Sex
- Male
- 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 Therapist | 225X00000X | 0207641 | NY | Primary |
Addresses
Primary practice location
1550 Empire Blvd
Webster, NY 14580-2104
Mailing address
185 Jefferson Ave
Fairport, NY 14450-1911
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 |
|---|---|---|---|
| 0207641 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1699281105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 JEFFERSON AVE",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 EMPIRE BLVD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802104",
"telephone_number": "585-671-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAINWRIGHT",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0207641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.