Steven Brookes Wesley, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

123236 Issued in TX

Practice address

1209 W Bluff St
Woodville, TX 75979-4739

Phone

(409) 200-2804

Fax

(409) 200-2997

NPI assigned

May 24, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1003508458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514905",
            "telephone_number": "409-200-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794739",
            "telephone_number": "409-200-2804",
            "fax_number": "409-200-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "STEVEN",
        "middle_name": "BROOKES",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcella Marie Wiggins, ME.D., LPC
• Allen C. Williamson Jr., D.O.
• Cheri Woodard, OT
• Woodsville Dentistry PLLC (All Needz Dental)
• Woodville a.L. Home LLC (The Orchard Assisted Living)

• Occupational Therapist in Woodville, TX
• Providers in Woodville, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.