Vivianna Amber Wiggins, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1709 Issued in OK

Practice address

4157 S Harvard Ave Ste 117
Tulsa, OK 74135-2606

Phone

(918) 712-7868

Fax

(918) 878-7920

NPI assigned

Jan 13, 2021

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

Other identifiers 1

Electronic endpoints 1

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1043809163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE STE 117",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352606",
            "telephone_number": "918-712-7868",
            "fax_number": "918-878-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE STE 117",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352606",
            "telephone_number": "918-712-7868",
            "fax_number": "918-878-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "VIVIANNA",
        "middle_name": "AMBER",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OA LICENSE",
            "identifier": "1709",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "viv@pathwaystherapycenter.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "TherapyTime OT, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4157 S Harvard Ave Ste 117",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741352606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Jon Wiese, CRNA
• Dan Lee Wiesemeyer, M.D.
• Amy Wiewel, B.A.
• Samantha June Wiggins
• Terry Wiggins
• Vonnetta Renee Wiggins, LPN
• Bethany Marie Wiginton, BA
• Wilbanks Chiropractic PLLC
• Brandon Wilbanks, D.C.
• Kendra R Wilbanks, DC

• Occupational Therapy Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.