Nicole Wilkerson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

.6669 Issued in SC

Practice address

222 Ladean CT Ste E
Simpsonville, SC 29680-7504

Phone

(645) 587-5198

NPI assigned

Jun 24, 2019

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

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.

• Just Peachy Therapy LLC

  • Occupational Therapist
  • Simpsonville, SC
  • NPI 1528727732
  NPD
• Mosaic Group, LLC

  dba Mosaic Pediatric Therapy

  • Behavior Analyst
  • Pineville, NC
  • NPI 1144682873

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1356902100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LADEAN CT STE E",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807504",
            "telephone_number": "864-558-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LADEAN CT STE E",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807504",
            "telephone_number": "645-587-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-19-89795",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": ".6669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles W Whittenberg, MD
• Richard Widener
• Samantha Wiechec
• Tracy Wilde
• Jay Wiles, PSY.D.
• Ronnie Wilkins
• Bucky Williams-Hooker, R.N.
• Brian Williams, M.A., PSY.S.
• Chavala Williams
• Erica Williams

• Occupational Therapist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.