Julie Kristine Raddatz-Wallenda, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

11411 W 183Rd St
Suite B
Orland Park, IL 60467-9450

Phone

(708) 478-1820

Fax

(708) 478-3316

NPI assigned

Mar 8, 2007

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

Other names 1

• Julie Wallenda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bautz Developmental Intervention Inc

  • Physical Therapist
  • Orland Park, IL
  • NPI 1376530055
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801927181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 W 183RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679450",
            "telephone_number": "708-478-1820",
            "fax_number": "708-478-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 W 183RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679450",
            "telephone_number": "708-478-1820",
            "fax_number": "708-478-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDATZ-WALLENDA",
        "first_name": "JULIE",
        "middle_name": "KRISTINE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WALLENDA",
            "credential": "COTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dunia Qaisi, M.S., CF-SLP
• Nadia Quad
• Quality Therapy & Consultation, Inc.
• Olga Quintana, COTA/L
• R H Fife and Associates - Bright Futures - R Hall PSYD
• Ann M Radke
• Evaldas Radzevicius, MD
• Raed I Oweisi, DMD, PC
• Abeer Rafati, FNP
• Shauntrice Ragland

• Occupational Therapy Assistant in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.