Individual provider Active NPI

Aurelia Wiltshire, OTR/L, CBIS

  • Occupational Therapist
  • Westland, MI
National Provider Identifier
1386092138
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004038 Issued in MI
Practice address
2107 Martin St
Westland, MI 48186-9393
Phone
(734) 776-2770
Fax
(253) 484-6694
NPI assigned
Jun 1, 2016
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 5201004038 MI Primary

Addresses

Primary practice location

2107 Martin St
Westland, MI 48186-9393

Mailing address

2107 Martin St
Westland, MI 48186-9393
Phone (734) 776-2770

Other practice location 1

280 Merrimack St
Lawrence, MA 01843-1779
Phone (194) 776-2770

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

State licenses

LicenseStateTypeSpecialty
5201004038MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1386092138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 MARTIN ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869393",
            "telephone_number": "734-776-2770",
            "fax_number": "253-484-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 MARTIN ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869393",
            "telephone_number": "734-776-2770",
            "fax_number": "253-484-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018431779",
            "country_code": "US",
            "telephone_number": "194-776-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILTSHIRE",
        "first_name": "AURELIA",
        "credential": "OTR/L, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.