Active NPI
Ralyn Leann Wolfe, OTR/L
- Occupational Therapist
- Parkersburg, WV
National Provider Identifier
1881318681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1832
- Practice address
- 417 Grand Park Dr Ste 203
Parkersburg, WV 26105-4049 - Phone
- (304) 422-9293
- Fax
- (304) 422-9294
- NPI assigned
- Sep 27, 2022
- 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 | 1832 | WV | Primary |
Addresses
Primary practice location
417 Grand Park Dr Ste 203
Parkersburg, WV 26105-4049
Mailing address
804 41St St
Vienna, WV 26105-2836
Phone (304) 280-8622
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop/tablet |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1832 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1881318681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 41ST ST",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052836",
"telephone_number": "304-280-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 GRAND PARK DR STE 203",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261054049",
"telephone_number": "304-422-9293",
"fax_number": "304-422-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "RALYN",
"middle_name": "LEANN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1832",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop/tablet",
"affiliation": "N",
"address_1": "417 Grand Park Dr Ste 203",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261054049",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.