Individual provider Active NPI

Mollie Grace Ann Wilkinson, COTA/L

  • Occupational Therapy Assistant
  • Fort Smith, AR
National Provider Identifier
1306357413
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1268 Issued in AR
Practice address
9220 Highway 71 S Ste 10
Fort Smith, AR 72916-9151
Phone
(479) 763-1412
Fax
(479) 763-1425
NPI assigned
Oct 16, 2017
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1945 OK
Occupational Therapy Assistant 224Z00000X OT-A1268 AR Primary

Addresses

Primary practice location

9220 Highway 71 S Ste 10
Fort Smith, AR 72916-9151

Mailing address

369 Deerwood Loop
Greenwood, AR 72936-6601
Phone (479) 650-1124

Other names 1

  • Mollie Grace Redding Former name

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

LicenseStateTypeSpecialty
OT-A1268ARMDOccupational Therapy Assistant
1945OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brixey Therapy Services PastSince Mar 1, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1306357413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 DEERWOOD LOOP",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729366601",
            "telephone_number": "479-650-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 HIGHWAY 71 S STE 10",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169151",
            "telephone_number": "479-763-1412",
            "fax_number": "479-763-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "MOLLIE GRACE",
        "middle_name": "ANN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1945",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE GRACE",
            "last_name": "REDDING",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.