Kelly Wilcox, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-007736 Issued in AZ

Practice address

1930 E Southern Ave
Tempe, AZ 85282-7518

Phone

(480) 456-0719

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By the provider in NPPES

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

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Solace Pediatric Healthcare Therapy Services Az, Inc.

  dba Care Options For Kids

  • Physical Therapist
  • Tempe, AZ
  • NPI 1669533105
  Medicare reassignment
• Pioneer Pet, LLC

  • Diagnostic Radiology Physician
  • Tempe, AZ
  • NPI 1265401996
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1285193854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S KENWOOD LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822853",
            "telephone_number": "480-748-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827518",
            "telephone_number": "480-456-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "KELLY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Whittier, MS, BCBA, LBA
• Keith Lofgreen Whyte, D.C.
• Beth Wieland, PT, DPT, CSCS
• Jacqueline Wiersma, PT
• James Brandon Wiese, PHARMD
• Wild & Well Recovery LLC
• Wild Willow Counseling, PLLC
• Charles Wilder
• Julie Wilder, LPC
• Justin Cole Wilder, PHARMD, RPH, MED

• Occupational Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.