Ann Elizabeth Wilson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.004385 Issued in IL

Practice address

1803 Woodfield Dr
Savoy, IL 61874-8815

Phone

(217) 355-5905

NPI assigned

Jun 14, 2019

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1023678844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E 1800 NORTH RD",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618568449",
            "telephone_number": "217-762-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 WOODFIELD DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618748815",
            "telephone_number": "217-355-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth D Weingart, LSCSW, LCSW
• Merle Stanley White, D.D.S.
• Jessica L Wiley, LSW
• Williamson Therapy and Consulting LLC (Sara Williamson)
• Jane Vanessa Willie, LPC
• Deborah Deann Winn, LCPC
• Ryan Jeffrey Witt, O.D.
• Karen Gail Wolfson, LCSW
• Elham Yaseen
• Young Therapy, PC

• Occupational Therapy Assistant in Savoy, IL
• Providers in Savoy, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.