Active NPI
Wendi Raylene Wingate Jones, OTR/L MA
- Occupational Therapist
- Waite Park, MN
National Provider Identifier
1952831992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104328
- Practice address
- 142 1St St N
Waite Park, MN 56387-1273 - Phone
- (320) 257-4931
- Fax
- (320) 253-1170
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 104328 | MN | Primary |
Addresses
Primary practice location
142 1St St N
Waite Park, MN 56387-1273
Mailing address
429 20TH Ave N
Sartell, MN 56377-1687
Phone (218) 969-1313
Other names 1
- Wendi Raylene Wingate
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11175 27TH Ave SE
Becker, MN 55308-4774
Phone (800) 444-6845
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
11175 27th Ave SE
Becker, MN 55308
Phone (763) 262-8000
Organizations & group practices 2
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.
-
- Physical Therapist
- Fort Smith, AR
- NPI 1417340126
MN, Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1952831992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 20TH AVE N",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771687",
"telephone_number": "218-969-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 1ST ST N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871273",
"telephone_number": "320-257-4931",
"fax_number": "320-253-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WENDI",
"middle_name": "RAYLENE WINGATE",
"credential": "OTR/L MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDI",
"last_name": "WINGATE",
"middle_name": "RAYLENE",
"credential": "COTA/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.