Braylee Krisanna Wildman, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4533 Issued in ME

Practice address

12 Westbrook CMN
Westbrook, ME 04092-2819

Phone

(207) 591-7210

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By 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 ME

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portland Chiropractic Neurology, LLCGroup PAC ID 1759427776, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Portland Chiropractic Neurology, LLC

  • Neurology Chiropractor
  • Portland, ME
  • NPI 1780856336
  Medicare reassignment Care Compare group NPD
• Think Tank Hyperbarics

  dba New England Hyperbaric Oxygen

  • Multi-Specialty Clinic/Center
  • Portland, ME
  • NPI 1750271789
  NPD
• Pediatric Development Center

  • Occupational Therapist
  • Westbrook, ME
  • NPI 1720173321
  NPD (past)

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1407631955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CHAPMAN RD",
            "city": "NEWBURGH",
            "state": "ME",
            "postal_code": "044445150",
            "telephone_number": "207-656-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WESTBROOK CMN",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922819",
            "telephone_number": "207-591-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "BRAYLEE",
        "middle_name": "KRISANNA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve S Whiting, MD
• Ian Whitmore, LCSW
• Allison Jayne Wilbur
• Francine M Wilbur, FNP
• Taylor Wilbur, M.S., BCBA
• Calen Matthew Williams, CADC
• Stephanie A. Williams, CADC
• Gordon Winchell
• John Paul Winters III, MD
• Woodfords Family Services

• Occupational Therapist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.