Individual provider Active NPI

Wendi Lary, OTR/L

  • Occupational Therapist
  • McHenry, IL
National Provider Identifier
1922644780
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.003177 Issued in IL
Practice address
3711 W Kane Ave
McHenry, IL 60050-5524
Phone
(630) 606-9492
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.003177 IL Primary

Addresses

Primary practice location

3711 W Kane Ave
McHenry, IL 60050-5524

Mailing address

1208 E Oakwood Dr
Fox Lake, IL 60020-0811
Phone (630) 606-9492

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wlary@d15.org

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

LicenseStateTypeSpecialty
056.003177ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1922644780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E OAKWOOD DR",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600200811",
            "telephone_number": "630-606-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 W KANE AVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505524",
            "telephone_number": "630-606-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARY",
        "first_name": "WENDI",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.003177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wlary@d15.org",
            "affiliation": "N",
            "address_1": "3711 W Kane Ave",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600505524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.