TRACY M WILSON (NPI# 1902232325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902232325 |
| Entity Type | Individual |
| Full Name | TRACY M WILSON |
| Credential | OT |
| Practice Address |
800 Fair Park Blvd Little Rock AR 72204-1720 |
| Mailing Address |
600 S Mckinley St Little Rock AR 72205-5202 |
| Practice Telephone | 5015003500 |
| Practice Fax Number | 5017773519 |
| Mailing Telephone | 5019782777 |
| Mailing Fax Number | 5019782630 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR2642 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR LICENSE | OTR2642 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1033256938 | Tracy C Wilson | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2007-01-31 |
| 1790840296 | Tracy Wilson | Occupational Therapist | 2422 Saint George Way, Brookeville, MD 20833-3265 | 2006-12-26 |
| 1548343205 | Tracy Allison Wilson | Specialist | 1000 Bible Way Ste 73, Reno, NV 89502-2134 | 2006-10-23 |
| 1588278329 | Tracy Wilson | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-31 |
| 1932686391 | Tracy Wilson | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2599 | 2018-07-27 |
| 1568995587 | Tracy Wilson | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-04-06 |
| 1245644186 | Tracy A Wilson | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-06-18 |
| 1265853055 | Tracy Wilson | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2013-12-20 |
| Street Address |
800 FAIR PARK BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606933 | Jay M Lipke | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2005-08-17 |
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1386242899 | Payton Rae Ransom | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-16 |
| 1942825476 | Bryce Bossin | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-06-10 |
| 1922658566 | Victoria Caples | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-09-16 |
| 1457818353 | Kala Carol Hart | Nurse Practitioner | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-27 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1346706892 | Christopher Allen Brynell | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-20 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1073080255 | John Joseph Head | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| 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 |
|---|---|---|---|---|
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1700361656 | Katherine Leigh Edgar | Occupational Therapist | 10515 W Markham St Ste H10, Little Rock, AR 72205-2284 | 2018-09-26 |
| 1609359694 | Angela Katherine Green | Occupational Therapist | 101 Morgan Keegan Dr Ste B, Little Rock, AR 72202-2267 | 2018-09-14 |
| 1891289013 | Monica Wisenbaker | Occupational Therapist | 13915 Saint Michael Dr, Little Rock, AR 72211-6200 | 2018-06-20 |
| 1871019695 | Adrianne Yvette Cade | Occupational Therapist | 11900 Colonel Glenn Rd Ste 2000, Little Rock, AR 72210-2829 | 2017-08-15 |
| 1568821825 | Monica Lynn Beard-raymond | Occupational Therapist | 122 Berry St, Little Rock, AR 72205-4302 | 2016-02-15 |
| 1538595491 | Fawnda Kaye Steelman | Occupational Therapist | 4301 West Markham #805, Uams Medical Center, Little Rock, AR 72205 | 2013-09-23 |
| 1891045464 | Nathan James Winter | Occupational Therapist | 26 Corporate Hill Dr., Little Rock, AR 72201 | 2012-09-11 |
| 1942559935 | Jennifer Leigh Acklin | Occupational Therapist | 2419 Stoney Creek Dr, Little Rock, AR 72211-4058 | 2012-09-05 |
| 1912263518 | Mary Anne Mabry | Occupational Therapist | 1106 Loretta Ln, Little Rock, AR 72227-5957 | 2012-04-09 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.