Wendy Kathleen Enfield, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

9439290-4202 Issued in UT

Practice address

867 S 800 W
Pleasant Grove, UT 84062-4505

Phone

(801) 785-9019

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1710699418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 1080 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840035180",
            "telephone_number": "801-319-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 S 800 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624505",
            "telephone_number": "801-785-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENFIELD",
        "first_name": "WENDY",
        "middle_name": "KATHLEEN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "UT",
            "license": "9439290-4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Occupational Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.