Active NPI
Jamieson Wilcox, O.T.D.
- Physical Rehabilitation Occupational Therapist
- Manhattan Beach, CA
National Provider Identifier
1285039560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 13877
- Practice address
- 903 Highland Ave
Unit D
Manhattan Beach, CA 90266-5552 - Phone
- (310) 462-6612
- NPI assigned
- Oct 28, 2014
- Last updated
- Oct 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 13877 | CA | Primary |
Addresses
Primary practice location
903 Highland Ave
Unit D
Manhattan Beach, CA 90266-5552
Mailing address
903 Highland Ave
Unit D
Manhattan Beach, CA 90266-5552
Phone (310) 462-6612
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 |
|---|---|---|---|
| 13877 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1285039560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 HIGHLAND AVE",
"address_2": "UNIT D",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665552",
"telephone_number": "310-462-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 HIGHLAND AVE",
"address_2": "UNIT D",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665552",
"telephone_number": "310-462-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "JAMIESON",
"name_prefix": "Dr.",
"credential": "O.T.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "13877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.