Rebekah Anne Wilson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214633 Issued in TX

Practice address

3223 Spring Cypress Rd Apt 635
Spring, TX 77388-4897

Phone

(903) 754-9009

Fax

(844) 228-2099

NPI assigned

Sep 24, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Icare Pediatric & Adult Therapy LLC

  • Physical Therapy Clinic/Center
  • Texarkana, TX
  • NPI 1568992352
  NPD (past)

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1477062354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 SUMMERHILL SQ",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032730",
            "telephone_number": "903-908-3839",
            "fax_number": "844-228-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 SPRING CYPRESS RD APT 635",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884897",
            "telephone_number": "903-754-9009",
            "fax_number": "844-228-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "REBEKAH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-24",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Wilson
• Laurada Wilson
• Leah Wilson, LCSW
• Michael Earl Wilson, MED COUNSELING
• Raven Unique Wilson
• Stephanie Wilson
• Terry W Winchester, D.D.S.
• Windrose RX, LLC
• Windrose RX, LLC
• Windrose Spine Center, PLLC

• Occupational Therapy Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.