Heather Wilson, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

591 Issued in WV

Practice address

1 Baker PL
Keyser, WV 26726-2824

Phone

(304) 788-4200

Fax

(304) 788-6461

NPI assigned

Apr 7, 2008

Last updated

Apr 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV, WV
  • NPI 1639348451
  NPD (past)
• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV
  • NPI 1710175591
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1194998518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 WINIFRED RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026396",
            "telephone_number": "301-722-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAKER PL",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262824",
            "telephone_number": "304-788-4200",
            "fax_number": "304-788-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WV",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "03070",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "591",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Williams
• Tona Courrier Williams, DDS
• Adora Lee Williamson
• Kara Ann Williamson
• Michael Wills
• Jana Wilt, RN
• Mandi Jo Wilt, MSN, APRN, FNP-C
• Justin Allen Winebrenner
• Alena Marie Winkler
• Paul Robert Winkler

• Pediatric Occupational Therapist in Keyser, WV
• Providers in Keyser, WV by specialty
• Pediatric Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.