Individual provider Active NPI

Willa Overland, OT

  • Occupational Therapist
  • Bakersfield, CA
National Provider Identifier
1033566492
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT16219 Issued in CA
Practice address
7737 Meany Ave
B5
Bakersfield, CA 93308-5266
Phone
(661) 377-1700
Fax
(661) 616-9199
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT16219 CA Primary

Addresses

Primary practice location

7737 Meany Ave
B5
Bakersfield, CA 93308-5266

Mailing address

8302 Espresso Dr Ste 100
Bakersfield, CA 93312-5688
Phone (661) 377-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT16219CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients
Terrio Therapy-Fitness, Inc. Occupational Therapist PastSince May 18, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1033566492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 ESPRESSO DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125688",
            "telephone_number": "661-377-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 MEANY AVE",
            "address_2": "B5",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085266",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLAND",
        "first_name": "WILLA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT16219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.