Active NPI
Pamela Wiley
- Occupational Therapist
- North Richland Hills, TX
National Provider Identifier
1376018150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113578
- Practice address
- 6850 Rufe Snow Dr.
North Richland Hills, TX 76148 - Phone
- (817) 514-4940
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 113578 | TX | Primary |
Addresses
Primary practice location
6850 Rufe Snow Dr.
North Richland Hills, TX 76148
Mailing address
848 W Redbud Dr
Hurst, TX 76053-6434
Phone (817) 938-0547
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113578 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1376018150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 W REDBUD DR",
"city": "HURST",
"state": "TX",
"postal_code": "760536434",
"telephone_number": "817-938-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 RUFE SNOW DR.",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "76148",
"telephone_number": "817-514-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.