Active NPI
Alyson Wilson
- Mental Health Occupational Therapist
- Oconomowoc, WI
National Provider Identifier
1184296139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- LT-0500.8000-200
- Practice address
- N6497 Elm Dr
Oconomowoc, WI 53066-9013 - Phone
- (920) 285-1857
- NPI assigned
- Jul 10, 2021
- Last updated
- Jul 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | LT-0500.8000-200 | WI | Primary |
Addresses
Primary practice location
N6497 Elm Dr
Oconomowoc, WI 53066-9013
Mailing address
N6497 Elm Dr
Oconomowoc, WI 53066-9013
Phone (262) 490-1329
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Oconomowoc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT-0500.8000-200 | WI | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1184296139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N6497 ELM DR",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530669013",
"telephone_number": "262-490-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N6497 ELM DR",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530669013",
"telephone_number": "920-285-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ALYSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-10",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "WI",
"license": "LT-0500.8000-200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Oconomowoc",
"affiliation": "N",
"address_1": "N6497 Elm Dr",
"city": "Oconomowoc",
"state": "WI",
"country_code": "US",
"postal_code": "530669013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oconomowoc, WI
- Jordan Wickman, PT
- Elizabeth Widicus, OT
- Jodi L Wiebelhaus, NP
- Carlotta Williams, FNP-BC
- Timothy G. Williamson, DDS
- Tiffany Lauren Wilson, HIS
- Thomas F Winters, MD
- Wisconsin Dental Group, S.C. (ForwardDental Oconomowoc)
- Wisconsin Eating Disorder Specialists SC
- Wisconsin Endodontics SC (Endodontic Specialists of Wisconsin - Oconomowoc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.