Autumn Beth Wills, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C2258 Issued in WV

Practice address

1631 Ritter Dr
Daniels, WV 25832-9264

Phone

(304) 762-3051

NPI assigned

Jun 3, 2024

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1033950134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 1/2 N HEBER ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014503",
            "telephone_number": "681-220-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 RITTER DR",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329264",
            "telephone_number": "304-762-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "AUTUMN",
        "middle_name": "BETH",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Walker, RPH
• Leslie Katlyn Watson
• Kaitlin Weaver
• Kathryn Webster, PTA
• Hilda Wilburn
• Michaelyn Wilson, M.C/CCC-SLP
• Lori Wooddell, COTA
• Joshua William Worix
• Maranda Nicole Worix
• Jessica Lynn York

• Occupational Therapy Assistant in Daniels, WV
• Providers in Daniels, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.