Active NPI
Wendy Lea Healy, MOTR/L
- Occupational Therapist
- Orange Park, FL
National Provider Identifier
1700072915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 9668
- Practice address
- 1689 Eagle Harbor Pkwy
Ste D
Orange Park, FL 32003-4802 - Phone
- (904) 637-0148
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OT 9668 | FL | Primary |
Addresses
Primary practice location
1689 Eagle Harbor Pkwy
Ste D
Orange Park, FL 32003-4802
Mailing address
1689 Eagle Harbor Pkwy
Ste D
Orange Park, FL 32003-4802
Phone (904) 637-0148
Other names 1
- Miss Wendy Lea Brooks
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 9668 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Low Vision Center of Northeast Florida Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Jacksonville, FL
- NPI 1235329848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1700072915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1689 EAGLE HARBOR PKWY",
"address_2": "STE D",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320034802",
"telephone_number": "904-637-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1689 EAGLE HARBOR PKWY",
"address_2": "STE D",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320034802",
"telephone_number": "904-637-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "WENDY",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 9668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "BROOKS",
"middle_name": "LEA",
"prefix": "MISS",
"credential": "MOTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orange Park, FL
- Ellen Haynes
- HCA Orange Park
- Health and Soul Integrative Wellness Consulting and Coaching
- Health Park Medical Supply
- Healthcare Extraordinare, LLC
- Hearing AIDS Today
- Hearing Centers of Florida
- Heartland of Orange Park FL LLC (Heartland Health Care Center - Orange Park)
- Heartland Rehabilitation Services of Florida LLC (H2 Health)
- Sheila Jean Heilman, MA, LMHC, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.