Gloria Wickline

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

9720 Issued in NC

Practice address

1222 Matteo Dr
Wilmington, NC 28412-2010

Phone

(860) 483-0183

NPI assigned

Sep 25, 2017

Last updated

Sep 25, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1306355003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 MATTEO DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 MATTEO DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122010",
            "telephone_number": "860-483-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLINE",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "000931",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "9720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Health P.L.L.C.
• Whole Heart, PLLC
• Lisa Anne Wich-Layman, LPC, LCAS
• David Wickham
• Elizabeth Wickliffe, LCSWA
• Parker Hurst Wiebe
• Peter Joseph Wiegman, MD
• McKenzie Grey Wierse, LCSWA, LCASA
• Brady Wiggins, DPT
• Samantha McCall Wiggins, LMFT

• Occupational Therapy Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.