Courtney Wiley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2596 Issued in ID

Practice address

113 E Avenue F
Jerome, ID 83338-3132

Phone

(208) 324-2443

NPI assigned

Jun 30, 2022

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 ID

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.

• Valley Therapy Services, Inc.

  • Speech-Language Pathologist
  • Jerome, ID
  • NPI 1639343270
  Medicare reassignment NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1316679038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 S 100 W",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833386089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E AVENUE F",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833383132",
            "telephone_number": "208-324-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerlyn Danette Walker, LPC-7901
• Thomas Walker, HOUSING PROVIDER
• Walker's Aftercare Services
• Walmart Inc. (Walmart Pharmacy 10-2831)
• Katelin MW Wareham
• Catherine Marie Wilkerson
• Brayden Christopher Prier Wilkes
• William H Lloyd
• Marta E Wooldridge, MD
• Don S Wyatt, DDS

• Occupational Therapist in Jerome, ID
• Providers in Jerome, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.