Active NPI
Andrea Britt Wheeler, O.T.
- Occupational Therapist
- Lecanto, FL
National Provider Identifier
1235280702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18859
- Practice address
- 2333 N Brentwood Cir
Lecanto, FL 34461-9323 - Phone
- (352) 746-6600
- NPI assigned
- Jan 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT002489 | GA | |
| Occupational Therapist | 225X00000X | OT18859 | FL | Primary |
Addresses
Primary practice location
2333 N Brentwood Cir
Lecanto, FL 34461-9323
Mailing address
PO Box 2829
Richmond Hill, GA 31324-2829
Phone (912) 756-5699
Other practice location 1
512 S Main St
Hinesville, GA 31313-4325
Phone (912) 368-4131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000844973B | Medicaid | GA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT002489 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Rehab Services, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Tybee Island, GA
- NPI 1588667430
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1235280702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2829",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313242829",
"telephone_number": "912-756-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 N BRENTWOOD CIR",
"city": "LECANTO",
"state": "FL",
"postal_code": "344619323",
"telephone_number": "352-746-6600"
}
],
"practiceLocations": [
{
"address_1": "512 S Main St",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313134325",
"country_code": "US",
"telephone_number": "912-368-4131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "ANDREA",
"middle_name": "BRITT",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2022-06-29",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT002489",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000844973B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.