Wendy C Ettles, OTD, M.S., OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

835 Tioga TRL
Parker, CO 80138-4420

Phone

(720) 252-8698

NPI assigned

Feb 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1962709360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 TIOGA TRL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801384420",
            "telephone_number": "720-252-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 TIOGA TRL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801384420",
            "telephone_number": "720-252-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTLES",
        "first_name": "WENDY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OTD, M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0003138",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Estep, PA-C
• Darren Estes
• Lauren Noelle Estrada, RN
• Etail Medical LLC
• Katelyn Etienne, MS
• Martha K Euwana
• Cassandra Evans
• Delinda Kathleen Evans, MA, LPCC
• Hannah Imogene Evans, MS, PH.D., MPA
• Russell D Evans, PHARMD

• All providers in Parker, CO
• Pediatric Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.