Julie Ann Wicker, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104866 Issued in TX

Practice address

1709 10TH St
Wichita Falls, TX 76301-5010

Phone

(940) 500-8859

Fax

(940) 696-6210

NPI assigned

Dec 6, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Helen Farabee Centers

  • Case Management Agency
  • Wichita Falls, TX
  • NPI 1093833154
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1184608796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8266",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763078266",
            "telephone_number": "940-500-8859",
            "fax_number": "940-696-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015010",
            "telephone_number": "940-500-8859",
            "fax_number": "940-696-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "104866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005329003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8T2729",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wichita Medical Group PLLC
• Wichita Medical Management, LLC
• Wichita Smiles (Smart Mouth Family Dental)
• Wichita Smiles
• Wichita Valley Rehabilitation Hospital
• Kayla Christina Lynn Widener
• Bryan Wieck
• Beverly A Wilbur, DO
• Brenda Renee Wilde, EIS
• Keirah Wilk, RBT

• Occupational Therapist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.