Active NPI
Megan Elizabeth Wiggs, OTD
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1457186504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT25117
- Practice address
- 1524 Normandy Village Pkwy
Jacksonville, FL 32221-7690 - Phone
- (904) 578-1300
- NPI assigned
- Sep 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT25117 | FL | Primary |
Addresses
Primary practice location
1524 Normandy Village Pkwy
Jacksonville, FL 32221-7690
Mailing address
11391 Square St
#2405
Jacksonville, FL 32256-4099
Phone (757) 335-1699
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 |
|---|---|---|---|
| OT25117 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1457186504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11391 SQUARE ST",
"address_2": "#2405",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564099",
"telephone_number": "757-335-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 NORMANDY VILLAGE PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322217690",
"telephone_number": "904-578-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGS",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT25117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.