Individual provider Active NPI

Jessica Lois Wilcox, OTR

  • Occupational Therapist
  • Bellingham, WA
National Provider Identifier
1467969030
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
388889
Practice address
348 W King Tut Rd
Bellingham, WA 98226-9652
Phone
(207) 522-0210
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 388889 Primary

Addresses

Primary practice location

348 W King Tut Rd
Bellingham, WA 98226-9652

Mailing address

2604 Vining PL
Bellingham, WA 98226-4201
Phone (207) 522-0210

Other practice location 1

24 Jesse Rd
Topsham, ME 04086-5708
Phone (207) 522-0210

Other practice location 2

2604 Vining Pl
Bellingham, WA 98226-4201
Phone (207) 522-0210

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

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467969030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 VINING PL",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264201",
            "telephone_number": "207-522-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 W KING TUT RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269652",
            "telephone_number": "207-522-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Jesse Rd",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "040865708",
            "country_code": "US",
            "telephone_number": "207-522-0210",
            "fax_number": "207-522-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 Vining Pl",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982264201",
            "country_code": "US",
            "telephone_number": "207-522-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JESSICA",
        "middle_name": "LOIS",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "388889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.