Nicole Wienecke, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

107845 Issued in TX

Practice address

9577 Huebner Rd
San Antonio, TX 78240-1687

Phone

(210) 228-0030

NPI assigned

Jun 29, 2018

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)

Not 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.

• Nancy El-Hitamy Amir,

  • Low Vision Rehabilitation Optometrist
  • San Antonio, TX
  • NPI 1962615195

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1972098176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 RANCH ROAD 2721",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245749",
            "telephone_number": "512-203-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9577 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401687",
            "telephone_number": "210-228-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENECKE",
        "first_name": "NICOLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "107845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wieczorkowski, PA-C, ATC
• Jordan Lewis Wiederstein, LPC
• Kristopher Wieland
• Abrana Wielgosiak
• Marcy R Wiemers, M.D.
• Sherman Wayne Wieneke, AGNP
• Leighton Arthur Wier, DDS
• Julie Lynn Wiernik, PSY.D.
• Jeremy Nyle Wiersig, MD
• Leigh A. Wiesehan, MS, LPC-A

• Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.