Susan Lynn Wickware, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1020996 Issued in CO

Practice address

1324 S Sherman St
Denver, CO 80210-2213

Phone

(303) 733-1701

NPI assigned

Aug 27, 2008

Sex

Female

Sole proprietor

No

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1760630107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 S SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102213",
            "telephone_number": "303-733-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102213",
            "telephone_number": "303-733-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKWARE",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "1020996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Wicke, RN
• Amanda Wickenkamp, OTR
• Julia Wicker, MA
• Jeffrey D Wicks, M.D.
• Kaitlin Marie Wickstrom, MA
• William Widdison, P.T.
• Nanette L Widdle
• Hiram Emory Widener III, LPCC
• Nichol Lee Widga, BA
• Heather Widhalm

• Occupational Therapy Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.