Victoria Wicus, MOT OTR/L, BCP, CIMI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6033 Issued in AZ

Practice address

3241 E Shea Blvd Ste 1-503
Phoenix, AZ 85028-3335

Phone

(480) 910-0372

NPI assigned

Dec 29, 2014

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

State licenses

Practice roles

Locations

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.

• Places You'LL Go Therapy LLC

  • Occupational Therapist
  • Phoenix, AZ
  • NPI 1386131837
  Medicare reassignment NPD Authorized official
• Heartland Therapy, Inc.

  • Home Health Agency
  • Mesa, AZ
  • NPI 1962552547
  Medicare reassignment NPD
• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249
  Medicare reassignment NPD
• Sunshine Speech-Language Therapy Services, Inc.

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1861563223
  NPD (past)

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1316335383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 E SHEA BLVD STE 1-503",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283335",
            "telephone_number": "480-910-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 E SHEA BLVD STE 1-503",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283335",
            "telephone_number": "480-910-0372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25615 N Ranch Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852552141",
            "country_code": "US",
            "telephone_number": "480-502-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICUS",
        "first_name": "VICTORIA",
        "credential": "MOT OTR/L, BCP, CIMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Germain Wicklow, MD
• Steven W Wicklund
• Debra S Wickman, MD
• Skylar Ann Wickman
• Laura Wicks, PHARMD
• Brittany Widdowson, PT, DPT
• Marissa Ann Widener, LPC
• Widmaier Chiropractic
• Randall Scott Widmaier, DC
• Courtney Widmer

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

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