Individual provider Active NPI

Amy Gail Wendel

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1770148595
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
248381 Issued in KY
Practice address
290 Alumni Dr
Lexington, KY 40503-1601
Phone
(859) 218-2322
Fax
(859) 257-0284
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 248381 KY Primary

Addresses

Primary practice location

290 Alumni Dr
Lexington, KY 40503-1601

Mailing address

2520 Regency Rd Ste 150
Lexington, KY 40503-2921
Phone (859) 224-0834

Other practice location 1

2520 Regency Rd Ste 150
Lexington, KY 40503-2921
Phone (859) 224-0834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004002371 KY Practitioner - Occupational Therapist in Private Practice 4981002094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
248381KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Oct 1, 2021 Accepting new patients
University of Kentucky Past Accepting new patients
On the Move Pedatric Therapy PLLC Occupational Therapist PastSince Jan 1, 2013 Accepting new patients

Locations

290 Alumni Dr
Lexington, KY 40503
Phone (859) 218-2322

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1770148595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 REGENCY RD STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032921",
            "telephone_number": "859-224-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALUMNI DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031601",
            "telephone_number": "859-218-2322",
            "fax_number": "859-257-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Regency Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032921",
            "country_code": "US",
            "telephone_number": "859-224-0834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "AMY",
        "middle_name": "GAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "248381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.