Mandy K Wakefield, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

110523 Issued in TX

Practice address

6300 West Loop S
Suite 118
Bellaire, TX 77401-2900

Phone

(713) 661-2900

Fax

(713) 661-2999

NPI assigned

Mar 28, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Innovations in Physical Therapy, Inc.

  • Physical Therapist
  • Houston, TX
  • NPI 1639161797
  NPD (past)
• The Pain Care Center

  • Physical Therapist
  • Angleton, TX
  • NPI 1508824186

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861511222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 OLD FORT RD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791706",
            "telephone_number": "281-796-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S",
            "address_2": "SUITE 118",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012900",
            "telephone_number": "713-661-2900",
            "fax_number": "713-661-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "MANDY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahanna Wade
• David M. Wadler, D.D.S.
• Alisha Lynn Wagner, PH.D.
• Chelsea Wagner, M.S.
• Richard Wagner
• Jennifer Waldo, LPC INTERN
• Walgreen Co
• Emily Walker, OD
• Cindy Nicole Wallace, MSN, FNP-BC
• Robert Randolph Wallis, M.D.

• Occupational Therapist in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Occupational Therapist in Texas

• 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.