Active NPI
Katee Mary Wilson, COTA, LMT
- Occupational Therapy Assistant
- Wells, ME
National Provider Identifier
1194081356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3506
- Practice address
- 1662 Post Rd Unit A3
Wells, ME 04090-4638 - Phone
- (207) 730-0539
- NPI assigned
- Apr 2, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3506 | MA | Primary |
| Massage Therapist | 225700000X | MT1271 | ME | |
| Occupational Therapy Assistant | 224Z00000X | 007365-1 | NY |
Addresses
Primary practice location
1662 Post Rd Unit A3
Wells, ME 04090-4638
Mailing address
1662 Post Rd Unit A3
Wells, ME 04090-4638
Phone (207) 730-0539
Other names 1
- Kathleen Mary Wilson
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 |
|---|---|---|---|
| 3506 | MA | MD | Occupational Therapy Assistant |
| 007365-1 | NY | MD | Occupational Therapy Assistant |
| MT1271 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1194081356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 POST RD UNIT A3",
"city": "WELLS",
"state": "ME",
"postal_code": "040904638",
"telephone_number": "207-730-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 POST RD UNIT A3",
"city": "WELLS",
"state": "ME",
"postal_code": "040904638",
"telephone_number": "207-730-0539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KATEE",
"middle_name": "MARY",
"credential": "COTA, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "3506",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT1271",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "007365-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "WILSON",
"middle_name": "MARY",
"credential": "COTA, LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wells, ME
- Wells Emergency Medical Services Inc
- Wells Family Practice LLC
- Wells Ogunquit Community School District
- Kathleen Clara Wheeler, PHARMACIST
- Karen T Wilson, P.T., O.C.S.
- Ycpd, PLLC (York County Pediatric Dentistry)
- York County Wound Healing & Hyperbaric Medicine Center
- York Hospital (York Hospital Wells Pharmacy)
- York Hospital
- York Hospital Dba Coastal OB-GYN, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.