NICOLE WILSON (NPI# 1326544545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326544545 |
| Entity Type | Individual |
| Full Name | NICOLE WILSON |
| Credential | COTA/L |
| Practice Address |
17415 N 92nd Ave Peoria AZ 85382-8214 |
| Practice Telephone | 4802525337 |
| Mailing Telephone | 4802525337 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 7031 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679014997 | Nicole Lynn Wilson | Nurse's Aide | 2054 Magee St, Down, Lakewood, OH 44107-5238 | 2017-03-20 |
| 1598214801 | Nicole Wilson | Specialist/Technologist | 81 E Broadway St, Ipava, IL 61441-5236 | 2016-09-27 |
| 1144663725 | Nicole Ann Wilson | Military Health Care Provider | 4701 Apple Tree Dr, Alexandria, VA 22310-2802 | 2013-04-12 |
| 1851681027 | Nicole Wilson | Contractor | 933 N Rivershire Dr, Conroe, TX 77304-2793 | 2011-04-08 |
| 1275845547 | Nicole Olivia Wilson | Nurse Practitioner | 914 1st Ave Se, Minot, ND 58701-4008 | 2010-07-02 |
| 1093941056 | Nicole Sharee Wilson | Chiropractor | 1455 Westfield Ave Sw, North Canton, OH 44720-4235 | 2009-06-04 |
| 1891929923 | Nicole Marie Wilson | Chiropractor | 1411 Nw Raleigh Street, Portland, OR 97209-2573 | 2009-05-04 |
| 1902044217 | Nicole Ann Wilson | Pharmacist | 4 Railroad Street, St. Marys, PA 15857-1798 | 2009-01-23 |
| 1396344883 | Nicole Wilson | Technician | 111 Virginia Ave, Petersburg, WV 26847-1713 | 2020-10-26 |
| 1710510201 | Nicole Sara Wilson | Nurse Practitioner | 900 Centennial Blvd Ste 202, Voorhees, NJ 08043-4637 | 2020-02-13 |
| Street Address |
17415 N 92ND AVE |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| 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 |
|---|---|---|---|---|
| 1831704188 | Lacy Lynn Granger | Occupational Therapy Assistant | 26877 N 87th Ln, Peoria, AZ 85383-3716 | 2020-09-14 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1780149179 | Niccole Swim | Occupational Therapy Assistant | 10773 W Whitehorn Way, Peoria, AZ 85383-9802 | 2019-02-10 |
| 1215404587 | Timarie Fay Maki | Occupational Therapy Assistant | 9415 N 99th Ave Apt 2042, Peoria, AZ 85345-6939 | 2018-10-25 |
| 1316421365 | Teresa Carolyn Stevens | Occupational Therapy Assistant | 5425 N Robinhood Dr, Peoria, IL 61614-3767 | 2018-09-15 |
| 1174064208 | Angela Lee | Occupational Therapy Assistant | 7028 W Lincoln St, Peoria, AZ 85345-6112 | 2017-03-08 |
| 1609323898 | Tawnya Green | Occupational Therapy Assistant | 2232 N University St, Peoria, IL 61604-3276 | 2016-09-06 |
| 1184071276 | Talk The Talk Pediatric Therapy | Occupational Therapy Assistant | 7922 W Adam Ave, Peoria, AZ 85382-4470 | 2016-05-18 |
| 1154790038 | Valarie Barraza | Occupational Therapy Assistant | 20702 N Lake Pleasant Rd Apt 1095, Peoria, AZ 85382-0540 | 2015-09-21 |
| 1568859064 | Chelsea Bullis | Occupational Therapy Assistant | 7725 W Sands Dr, Peoria, AZ 85383-3126 | 2015-04-22 |
| Find all providers in PEORIA | ||||
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| 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.