Teal Janine Wilkerson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201002626 Issued in MI

Practice address

20935 Anita St
Harper Woods, MI 48225-1126

Phone

(313) 770-5510

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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 MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• JH Therapy Services

  • Occupational Therapist
  • Lapeer, MI
  • NPI 1104618180
  Medicare reassignment NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484438400000",
    "number": "1366489411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20935 ANITA ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251126",
            "telephone_number": "313-770-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20935 ANITA ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251126",
            "telephone_number": "313-770-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "TEAL",
        "middle_name": "JANINE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Vanneuren
• Vito W. Ciaravino D.D.S. P.C.
• Wujungbuen Charles Vumomse, FNP
• Loretta Walker, LMT
• Lynn Ann Warbel
• Dawn Williams
• Hiram Lamar Williams I
• Kenya Williams
• Marshell Wilson
• Woods Orthopaedic Associates PC

• Occupational Therapist in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; 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.