JUDY KAY WREGE, MSOTR/L - NPI NUMBER 1841506177

Summary

Provider Name: JUDY KAY WREGE, MSOTR/L

NPI Number: 1841506177

Clasification: Occupational Therapist (225X00000X)

Address:
13801 E BENSON HWY
VAIL, AZ
ZIP 85641

Phone Number: (520) 203-3681



Detailed Information

Judy Kay Wrege, MSOTR/L is an occupational therapist in Vail, AZ. The provider is an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. The assigned NPI number for this provider is 1841506177 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

13801 E BENSON HWY
VAIL, AZ
ZIP 85641-074
Phone: (520) 203-3681
Fax: (520) 879-2088

The enumeration date for this NPI number is 8/24/2010 and was last updated on 8/24/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 225X00000X Occupational Therapist 0445 AZ Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1841506177 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
3 Provider Last Name Legal Name WREGE The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name JUDY The first name of the provider, if the provider is an individual.
5 Provider Middle Name KAY The middle name of the provider, if the provider is an individual.
6 Provider Credential Text MSOTR/L The middle name of the provider, if the provider is an individual.
7 Provider First Line Business Practice Location Address 13801 E BENSON HWY The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name VAIL The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address State Name AZ The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 856419074 The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 5202033681 The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 5208792088 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 8/24/2010 The code designating the provider’s gender if the provider is a person.
15 Last Update Date 8/24/2010 The date that a record was last updated or changed.
16 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 225X00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 0445 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 AZ The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.