Kaitlyn Marie Wilson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20408 Issued in FL

Practice address

1475 Holcomb Bridge Rd Ste 113
Roswell, GA 30076-2126

Phone

(678) 591-3542

NPI assigned

Oct 14, 2019

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

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.

• Apple Educational Consulting, Inc.

  • Multi-Specialty Clinic/Center
  • Alpharetta, GA
  • NPI 1861000598
  NPD (past)
• Building Bridges Therapy Inc

  • Speech-Language Pathologist
  • Cumming, GA
  • NPI 1326200452

  Occupational Therapist

  NPD (past)
• Darling Pediatric Therapies

  • Multi-Specialty Clinic/Center
  • Roswell, GA
  • NPI 1578799763
  NPD (past)
• First Step Therapy, LLC

  • Clinic/Center
  • Kissimmee, FL
  • NPI 1831420033

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1194367888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 MCBRAYER RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300287999",
            "telephone_number": "770-365-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HOLCOMB BRIDGE RD STE 113",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762126",
            "telephone_number": "678-591-3542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Orchid Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338843656",
            "country_code": "US",
            "telephone_number": "863-268-2608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Atlanta Hwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300048798",
            "country_code": "US",
            "telephone_number": "770-912-3875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Avenue O NE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338812499",
            "country_code": "US",
            "telephone_number": "863-293-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Williamson
• Allison Marissa Willis, PHARMD
• Willow Creek Family Medicine, PC
• Willow Nest Chiropractic LLC
• Bonnie Kay Wilson, LMT
• Ryan Edward Wilson, MD
• Sidney L Wilson
• Vinette Martin Wilson, NP-C
• Katherine Mackenzie Wood Wimbley, PHARMD
• Lori Windham, LPC

• Occupational Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Occupational Therapist in Georgia

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

Verify at the official NPI Registry.