Kendra Ann Wilson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTL15122 Issued in MA

Practice address

18 Chestnut St Ste 200
Worcester, MA 01608-1557

Phone

(508) 757-2756

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Easter Seals Massachusetts, Inc.

  • Rehabilitation Clinic/Center
  • Bridgewater, MA
  • NPI 1033386842
  NPD
• Reach for the Top Therapy Services

  • Occupational Therapist
  • Dover, NH
  • NPI 1376955328
  NPD (past)
• Reach for the Top Therapy Services

  • Mental Health Counselor
  • Dover, NH
  • NPI 1578443149
  NPD (past)

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1043083348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEER HILL LN",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "023301704",
            "telephone_number": "339-832-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CHESTNUT ST STE 200",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081557",
            "telephone_number": "508-757-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KENDRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24428",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT02206",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "3489",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "OTL15122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Wilson, PA-C
• Jamie Wilson, MS, CCC-SLP
• Kaitlyn Marie Wilson, LICSW
• Kayla Eileen Wilson, MD
• Kendra Wilson
• Lauren Elizabeth Wilson
• Leah Wilson, M.D.
• Lucy W Wilson
• Mark Meredith Wilson, M.D.
• Megan Veronica Wilson, LCSW

• Occupational Therapist in Worcester, MA
• Providers in Worcester, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.