Individual provider Active NPI

April Merrilee Wikstrom, OTD-R/L

  • Occupational Therapist
  • Franklin, NC
National Provider Identifier
1073635199
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11179 Issued in NC
Practice address
175B E Main St
Franklin, NC 28734-3045
Phone
(828) 342-5910
Fax
(828) 558-4344
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 11179 NC Primary

Addresses

Primary practice location

175B E Main St
Franklin, NC 28734-3045

Mailing address

353 Carolina MTN Dr
Franklin, NC 28734-2768
Phone (828) 342-5910

Other identifiers 2

IdentifierTypeStateIssuer
24001023MedicaidCO
660410OtherCOBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128001965 NM Practitioner - Occupational Therapist in Private Practice 8022029065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 N Court Ave
Farmington, NM 87401-6930
Phone (505) 576-4658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11179NCMDSpeech-Language Pathologist
3310COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Find What Works LLC CurrentSince Dec 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1073635199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CAROLINA MTN DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342768",
            "telephone_number": "828-342-5910",
            "fax_number": "828-558-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175B E MAIN ST",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287343045",
            "telephone_number": "828-342-5910",
            "fax_number": "828-558-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKSTROM",
        "first_name": "APRIL",
        "middle_name": "MERRILEE",
        "credential": "OTD-R/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24001023",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "660410",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.