Active NPI
Wendy Ann Tomhave, OTR/L
- Pediatric Occupational Therapist
- Woodbury, MN
National Provider Identifier
1780914705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 215 Radio Dr Ste 100
Woodbury, MN 55125-5817 - Phone
- (612) 596-6100
- Fax
- (612) 339-7634
- NPI assigned
- Jan 14, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
215 Radio Dr Ste 100
Woodbury, MN 55125-5817
Mailing address
P.O. Box 209036
Shriners Hospitals for Children Twin Cities
Dallas, TX 75320-9036
Phone (813) 281-8478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients |
Locations
215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Woodbury, MN
- NPI 1285250977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1780914705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 209036",
"address_2": "SHRINERS HOSPITALS FOR CHILDREN TWIN CITIES",
"city": "DALLAS",
"state": "TX",
"postal_code": "753209036",
"telephone_number": "813-281-8478",
"fax_number": "813-281-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 RADIO DR STE 100",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255817",
"telephone_number": "612-596-6100",
"fax_number": "612-339-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMHAVE",
"first_name": "WENDY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.