MRS. ANGELIQUE MARIE WILCOX (NPI# 1417228628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417228628 |
| Entity Type | Individual |
| Full Name | MRS. ANGELIQUE MARIE WILCOX |
| Credential | OTR/L, OTD |
| Practice Address |
895 Powers Blvd Waverly TN 37185-1018 |
| Mailing Address |
1489 Nichols Dr Apt B Clarksville TN 37042-1894 |
| Practice Telephone | 9312967552 |
| Mailing Telephone | 4193067355 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4488 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
895 POWERS BLVD |
| City | WAVERLY |
| State | TN |
| Zip Code | 37185-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730145822 | Waverly Health Care and Rehabilitation Center Inc | Skilled Nursing Facility | 895 Powers Blvd, Waverly, TN 37185 | 2006-04-26 |
| 1386080497 | Kathy Michelle Vann | Occupational Therapy Assistant | 895 Powers Blvd, Waverly, TN 37185-1018 | 2013-05-15 |
| 1861837684 | Carolyn D Lewallen | Physical Therapy Assistant | 895 Powers Blvd, Waverly, TN 37185-1018 | 2013-05-07 |
| 1467896373 | Robin C Mccormack | Occupational Therapy Assistant | 895 Powers Blvd, Waverly, TN 37185-1018 | 2013-04-22 |
| 1699043935 | Brenda Sue Rogerson | Speech-Language Pathologist | 895 Powers Blvd, Waverly, TN 37185-1018 | 2011-12-01 |
| 1093010357 | Mary Katherine Poglitsch | Physical Therapy Assistant | 895 Powers Blvd, Waverly, TN 37185-1018 | 2011-01-18 |
| 1750614129 | Shelley Pevahouse | Occupational Therapist | 895 Powers Blvd, Waverly, TN 37185-1018 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295567 | Tiffany Szabo | Speech-Language Pathologist | 670 Tn- 13, Waverly, TN 37185 | 2015-09-16 |
| 1407266653 | Wallace Mcclure | General Practice | 450 Powers Blvd., Waverly, TN 37185 | 2014-04-28 |
| 1982995346 | Laurel Lea Barrier | Speech-Language Pathologist | 1171 Lockhart Road, Waverly, TN 37185 | 2011-04-20 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1396921946 | Tammy Jo Saffel | Counselor | 205b East Main Street, Waverly, TN 37185 | 2008-01-14 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1720147119 | Kelley M Blackwell | Marriage & Family Therapist | 795 Holly Ln, Waverly, TN 37185 | 2006-12-08 |
| 1063509578 | Ida Suellen Westerman | Counselor | 205 B East Main Street, Waverly, TN 37185 | 2006-10-06 |
| 1801835962 | Noel R Dominguez | Internal Medicine | 209 West Main Street, Waverly, TN 37185 | 2006-06-05 |
| 1417930231 | Air Evac Ems Inc | Ambulance | 336 Highway 13 S, Waverly, TN 37185 | 2005-11-25 |
| Find all providers in zip 37185 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1750709135 | Sandra Siewert Laats | Occupational Therapist | 332 Broad St Ste A, Waverly, NY 14892-1345 | 2014-04-02 |
| 1528389475 | Denise Kay Dermody | Occupational Therapist | 1810 4th St Sw, Suite 103a, Waverly, IA 50677-4389 | 2010-06-15 |
| 1376749515 | Jeremiah Kane | Occupational Therapist | 231 Weaver Rd, Waverly, NY 14892-9820 | 2007-06-25 |
| 1912103334 | Wendy Sue Card | Occupational Therapist | 87 Ellis Creek Rd, Waverly, NY 14892-9540 | 2007-06-22 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1366501884 | Jean Ann Harrington Britt | Occupational Therapist | 1810 4th St Sw Ste 103a, Waverly, IA 50677-4333 | 2006-12-08 |
| 1770672529 | Linda K Croal | Occupational Therapist | 217 E Bremer Ave, Waverly, IA 50677-3435 | 2006-10-12 |
| 1366043481 | Haley Alane Dietrick | Occupational Therapist | 217 E Bremer Ave, Waverly, IA 50677-3435 | 2020-11-04 |
| 1770197097 | Sharon Sue Boyd | Occupational Therapist | 217 E Bremer Ave, Waverly, IA 50677-3435 | 2020-09-03 |
| Find all providers in WAVERLY | ||||
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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.