Daniel Wilson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32002291A Issued in IN

Practice address

3800 Eli PL
Newburgh, IN 47630-7436

Phone

(812) 858-5300

NPI assigned

Apr 16, 2020

Sex

Male

Sole proprietor

Yes

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1093335358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 E. 230 S.",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "47542",
            "telephone_number": "812-309-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ELI PL",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307436",
            "telephone_number": "812-858-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 N Leland Dr",
            "address_purpose": "LOCATION",
            "city": "Huntingburg",
            "state": "IN",
            "postal_code": "475429348",
            "country_code": "US",
            "telephone_number": "812-683-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475462711",
            "country_code": "US",
            "telephone_number": "812-482-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002291A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Nicole Williams, MS, OTR/L
• Angela Williamson, P.A.
• Cody Williamson
• Emily Claire Wills, MMT, MT-BC
• Brittany Wilson, RBT
• Johnna McKelvey Wilson, D.O.
• Stephanie Wilson
• Janyiah Kellise Wimberly, RBT
• Emily J. Windham, M.D.
• Daniel Winemiller

• Occupational Therapy Assistant in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.