Wendy Leigh Bouwens, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008668 Issued in MI

Practice address

414 E State St
Belding, MI 48809-2200

Phone

(616) 619-7833

NPI assigned

Apr 11, 2018

Last updated

Apr 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1851898217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 HIGHLANDER CT NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418298",
            "telephone_number": "616-617-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E STATE ST",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488092200",
            "telephone_number": "616-619-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUWENS",
        "first_name": "WENDY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5201008668",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Belding, MI
• Providers in Belding, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.