Abby Anne Wilson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4736-27 Issued in WI

Practice address

1619 Whitewater Dr
West Bend, WI 53095-9859

Phone

(414) 238-8771

NPI assigned

Aug 28, 2018

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1083195978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 WHITEWATER DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 WHITEWATER DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959859",
            "telephone_number": "414-238-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ABBY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4736-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Wichelmann, DO
• Krysti K Wick, D.C.
• Michael James Wiedmeyer, L.P.N.
• Wild Hope Counseling & Wellness, LLC
• Elizabeth Anne Wildt, R.N.
• Wisconsin Dental Group, S.C.
• Wisconsin Spine and Pain SC
• Sarah Witte, LCSW
• Chelsea Wolf
• Jill Elizabeth Wolf, MSW, CAPSW, SAC-IT

• Occupational Therapy Assistant in West Bend, WI
• Providers in West Bend, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.