Active NPI
Priya Patel Wilder
- Occupational Therapist
- Orem, UT
National Provider Identifier
1396560033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14186254-4201
- Practice address
- 527 400 N
Orem, UT 84057 - Phone
- (801) 714-3366
- NPI assigned
- Nov 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 14186254-4201 | UT | |
| Occupational Therapist | 225X00000X | 14186254-4201 | UT | Primary |
Addresses
Primary practice location
527 400 N
Orem, UT 84057
Mailing address
773 S 290 W
American Fork, UT 84003-4403
Phone (205) 657-7111
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 |
|---|---|---|---|
| 14186254-4201 | UT | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1396560033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "773 S 290 W",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840034403",
"telephone_number": "205-657-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 400 N",
"city": "OREM",
"state": "UT",
"postal_code": "84057",
"telephone_number": "801-714-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "PRIYA",
"middle_name": "PATEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "UT",
"license": "14186254-4201",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "14186254-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.