Amanda Wickenkamp, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1072823 Issued in OR

Practice address

1515 Wazee Street
Suite D
Denver, CO 80202-1478

Phone

(303) 534-9553

Fax

(720) 932-8815

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1831284017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-534-9553",
            "fax_number": "720-932-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WAZEE STREET",
            "address_2": "SUITE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021478",
            "telephone_number": "303-534-9553",
            "fax_number": "720-932-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKENKAMP",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004359A",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IN",
            "license": "31004359A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1072823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200837250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Wichmann
• Katherine McCormick Wichrowski, LCSW
• Ananda Wick, LCSW
• Anna-Lisa Wick, PSYCHIATRIC NP-BC
• Wendy Wicke, RN
• Julia Wicker, MA
• Jeffrey D Wicks, M.D.
• Kaitlin Marie Wickstrom, MA
• Susan Lynn Wickware, COTA
• William Widdison, P.T.

• Occupational Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.