Wendy C Vanooyen, OTR/L

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OT 60532066 Issued in WA

Practice address

1145 11TH PL SW
North Bend, WA 98045-7978

Phone

(425) 292-9221

NPI assigned

Apr 27, 2015

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

Other names 1

• Wendelyn Clementyn Waterval-Vanooyen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Public Hospital District No 4 King County Washington

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1972980134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 11TH PL SW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457978",
            "telephone_number": "425-292-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 11TH PL SW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457978",
            "telephone_number": "425-292-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOOYEN",
        "first_name": "WENDY",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "OT 60532066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDELYN",
            "last_name": "WATERVAL-VANOOYEN",
            "middle_name": "CLEMENTYN",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Thomas, LICSW
• Sarah Thompson, OT
• Mallory Troyer, OD
• Jenia Tuscano, LMT
• Kelsey Leigh Valach, MA, LMHCA
• Rio Vega, LMT
• Verve Performance Chiropractic, PLLC
• Genealle Visagorskis, CCC-SLP
• Mikayla Paige Walrath
• Megan M Walsh, LISW

• Physical Medicine & Rehabilitation Physician in North Bend, WA
• Providers in North Bend, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.