Angela Wiltse, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTH-008053 Issued in AZ

Practice address

3938 E Morrow Dr
Phoenix, AZ 85050-6332

Phone

(503) 949-7199

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By the provider in NPPES

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 AZ

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theraplay4Kidz, LLC

  dba Arizona Autism

  • Occupational Therapist
  • Scottsdale, AZ
  • NPI 1750727798
  Medicare reassignment NPD
• Achievement Therapy Services

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1265499701
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1376178301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 E MORROW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506332",
            "telephone_number": "503-949-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 E MORROW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506332",
            "telephone_number": "503-949-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSE",
        "first_name": "ANGELA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "OTH-008053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Wilt, LPN
• Jeffery C Wilt, CRNA
• Robin Wilt, OTR/L
• Christian Wiltbank
• Thomas B Wiltbank, M.D.
• Cynthia Marie Wiltz, IHSS
• Tiffany Roshawn Wimbish
• Shirley Wimbs
• Aye Thandar Win, MD
• Jacob Wesley Winans

• Pediatric Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.