Active NPI
Sherrie Lynn Wethey, B.A.
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1831317544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1339
- Practice address
- 4244 W Reddie Loop
Glendale, AZ 85310-1609 - Phone
- (623) 670-4766
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1339 | AZ | Primary |
Addresses
Primary practice location
4244 W Reddie Loop
Glendale, AZ 85310-1609
Mailing address
4244 W Reddie Loop
Glendale, AZ 85310-1609
Phone (623) 670-4766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190501000935 | AZ | Practitioner - Occupational Therapist in Private Practice | 3072855667 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1339 | AZ | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831317544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4244 W REDDIE LOOP",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853101609",
"telephone_number": "623-670-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4244 W REDDIE LOOP",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853101609",
"telephone_number": "623-670-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETHEY",
"first_name": "SHERRIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "B.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "1339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.