Active NPI
Deon Wilson
- Occupational Therapy Assistant
- Farmington Hills, MI
National Provider Identifier
1407076755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 209687
- Practice address
- 27240 Haggerty Rd
E-15
Farmington Hills, MI 48331-5716 - Phone
- (866) 991-0900
- Fax
- (866) 992-0900
- NPI assigned
- Apr 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 006615-1 | NY | |
| Occupational Therapy Assistant | 224Z00000X | 209687 | TX | Primary |
Addresses
Primary practice location
27240 Haggerty Rd
E-15
Farmington Hills, MI 48331-5716
Mailing address
9339 Via Classico West
West Palm Beach, FL 33411
Phone (954) 554-1610
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 |
|---|---|---|---|
| 006615-1 | NY | MD | Occupational Therapy Assistant |
| 209687 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1407076755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9339 VIA CLASSICO WEST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33411",
"telephone_number": "954-554-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27240 HAGGERTY RD",
"address_2": "E-15",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483315716",
"telephone_number": "866-991-0900",
"fax_number": "866-992-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2025-09-11",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "006615-1",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "209687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.