MR. CLINTON CHARLES WILSON (NPI# 1164540563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164540563 |
| Entity Type | Individual |
| Full Name | MR. CLINTON CHARLES WILSON |
| Credential | C.O.T.A. |
| Practice Address |
3420 Kings Sport Way Nw Aiken SC 29801-6814 |
| Practice Telephone | 8032958210 |
| Mailing Telephone | 8032958210 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2575 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1457976193 | Clinton Arlin Wilson | Dentist | 6301 W 41st St, Sioux Falls, SD 57106-1217 | 2020-06-09 |
| 1265998132 | Clinton Aaron Wilson | Counselor | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2019-02-15 |
| Street Address |
3420 KINGS SPORT WAY NW |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631477 | Cindy Donna Adriano | Occupational Therapy Assistant | 326 Marion St Se, Aiken, SC 29801-4628 | 2013-02-19 |
| 1003082033 | Melissa Miano Robinson | Occupational Therapy Assistant | 2359 Falcon Hill Dr, Aiken, SC 29803-3604 | 2008-04-30 |
| 1316578636 | Amanda Montez Aiken | Occupational Therapy Assistant | 550 Eastgate Dr, Aiken, SC 29803-7688 | 2020-01-27 |
| 1518519065 | Tiffany Beasley | Occupational Therapy Assistant | 181 Town Creek Rd, Aiken, SC 29803-5841 | 2019-07-15 |
| 1417509449 | Victoria Lynne Cozart | Occupational Therapy Assistant | 3525 Augustus Rd, Aiken, SC 29801-2701 | 2019-07-10 |
| 1083183206 | Tashara Harris | Occupational Therapy Assistant | 3525 Augustus Rd, Aiken, SC 29801-2701 | 2018-11-16 |
| 1992104970 | Jennifer Cristofaro | Occupational Therapy Assistant | 6140 Woodside Executive Ct, Aiken, SC 29803-3820 | 2014-08-15 |
| 1821366196 | Michelle Ortiz | Occupational Therapy Assistant | 6140 Woodside Executive Ct, Aiken, SC 29803-3820 | 2011-12-01 |
| 1578741583 | Chari R. Fralix | Occupational Therapy Assistant | 30 Physician Dr, Aiken, SC 29801-6388 | 2008-02-01 |
| 1770684763 | Kim Oanh Dworzanowski | Occupational Therapy Assistant | 830 Laurens St, Aiken, SC 29801-3416 | 2006-09-25 |
| Find all providers in AIKEN | ||||
Please comment or provide details below to improve the information on MR. CLINTON CHARLES WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.