Individual provider Active NPI

Zaekeya Wilson, MS, OTR/L, PAMS

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1336790641
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16738 Issued in CA
Practice address
2751 Roosevelt Rd Ste 203
San Diego, CA 92106-6180
Phone
(858) 514-0375
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 16738 CA Primary

Addresses

Primary practice location

2751 Roosevelt Rd Ste 203
San Diego, CA 92106-6180

Mailing address

2295 Orangewood PL
Pomona, CA 91767-2157
Phone (909) 374-8468

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Inc CurrentSince Oct 11, 2024 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Occupational Therapist CurrentSince Jan 1, 2023 Accepting new patients
All Star Physical Therapy CurrentSince Oct 11, 2024 Accepting new patients
Elite Physical Therapy and Wellness, Inc. PastSince Mar 7, 2021 Accepting new patients
Robert Marriott Medical Corp PastSince Jan 1, 2023 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

1420 Santo Domingo Ave
Duarte, CA 91010
Phone (626) 497-1946

10725 Zelzah Ave
#B
Granada Hills, CA 91344
Phone (818) 400-0304

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

8215 Rochester Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 892-3020

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1336790641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 ORANGEWOOD PL",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672157",
            "telephone_number": "909-374-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ROOSEVELT RD STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066180",
            "telephone_number": "858-514-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ZAEKEYA",
        "credential": "MS, OTR/L, PAMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.