Wendy Carrizales, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Hutto, TX

NPI 1699425157 · NPPES record last updated Mar 28, 2022

Key facts

NPI
1699425157
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
215513 (TX)
Practice address
567 Chris Kelley Blvd Ste 201
Hutto, TX 78634-2086
Phone
(512) 755-8005
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
215513TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Home Health Group of Fort Worth, LLC Past
since Apr 3, 2022
Accepting new patients
Texas Home Health Group of Taylor, LLC Past
since Apr 3, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 215513 TX Yes

Addresses

Primary practice location

567 Chris Kelley Blvd Ste 201
Hutto, TX 78634-2086

Mailing address

917 Eagles Way
Leander, TX 78641-8703
Phone (210) 430-4253

Other providers in Hutto, TX

All providers in Hutto, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.