Ryan Thomas Wehrenberg, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1733 Issued in IA

Practice address

1810 4TH St SW Ste 103a
Waverly, IA 50677-4389

Phone

(319) 352-6400

Fax

(319) 352-4655

NPI assigned

Oct 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab OT Ia LLCGroup PAC ID 5890180814, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehab OT Ia LLC

  • Occupational Therapist
  • Norwalk, IA
  • NPI 1073274585
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1730414236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 4TH ST SW STE 103A",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774389",
            "telephone_number": "319-352-6400",
            "fax_number": "319-352-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 4TH ST SW STE 103A",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774389",
            "telephone_number": "319-352-6400",
            "fax_number": "319-352-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRENBERG",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "1733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665992",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waverly Health Center
• Waverly Health Center
• Waverly Health Center - Ambulance
• Waverly Shell Rock Community School District
• Amber Lynn Weber, ARNP
• Margo Marie Welsh, PA
• Sean Gregory Westendorf
• Tara Mae Westhoff, OTR
• Meagan Wiggins
• Lucinda Lew Wilkinson, SLP

• Occupational Therapist in Waverly, IA
• Providers in Waverly, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.