Active NPI
Sigrid Carol Wentzensen, O.T.A.
- Occupational Therapy Assistant
- Flushing, NY
National Provider Identifier
1972844538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 005998-1
- Practice address
- 4339 164TH St
1St Floor
Flushing, NY 11358-3252 - Phone
- (347) 737-7179
- NPI assigned
- Mar 7, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 005998-1 | NY | |
| Occupational Therapy Assistant | 224Z00000X | 005998-1 | NY | Primary |
Addresses
Primary practice location
4339 164TH St
1St Floor
Flushing, NY 11358-3252
Mailing address
4339 164TH St
1St Floor
Flushing, NY 11358-3252
Phone (347) 737-7179
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 |
|---|---|---|---|
| 005998-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1972844538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4339 164TH ST",
"address_2": "1ST FLOOR",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583252",
"telephone_number": "347-737-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4339 164TH ST",
"address_2": "1ST FLOOR",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583252",
"telephone_number": "347-737-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZENSEN",
"first_name": "SIGRID",
"middle_name": "CAROL",
"credential": "O.T.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NY",
"license": "005998-1",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "005998-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.