Madison Blair Wilcox, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12361 Issued in NC

Practice address

5948 Fisher Rd
Fayetteville, NC 28304-5640

Phone

(910) 242-4114

NPI assigned

Mar 4, 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.

• Therapy Playground, Inc

  • Speech-Language Pathologist
  • Fayetteville, NC
  • NPI 1467433680
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1225596760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 FISHER RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045640",
            "telephone_number": "910-242-4114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 Rock Merritt Ave Womack Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Liberty",
            "state": "NC",
            "postal_code": "283105640",
            "country_code": "US",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MADISON",
        "middle_name": "BLAIR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wiest, CRNA
• Shannon S Wiggins, LCSW
• William James Wiggs Jr., MD
• Erik Wiglama, D.O.
• Clinton Dennis Wilburn, M.D.
• Peter Nelson Wildeboer, DO
• Marisa Wilder
• Grant Douglas Wiles, D.D.S
• Kimberly D Wiley
• Jacob Michael Wilhelm, PHARMD

• Occupational Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.