Wilsongroup, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

1427 Issued in SC

Legal business name

WILSONGROUP, LLC

Doing business as

WilsonGroup, LLC

Practice address

135 Garden Brooke Dr
Irmo, SC 29063-7617

Phone

(803) 608-2044

NPI assigned

Aug 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lesly Wilson James, PHD, OTR/LNPI 1366695926

Title

Ceo

Phone

(803) 608-2044

Specialties & licenses 1

Addresses

Other names 1

• WilsonGroup, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lesly Wilson James, PHD, OTR/L

  • Contractor
  • Irmo, SC
  • NPI 1366695926
  NPD (past) Authorized official

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1487800694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GARDEN BROOKE DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637617",
            "telephone_number": "803-608-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GARDEN BROOKE DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637617",
            "telephone_number": "803-608-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONGROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LESLY",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-608-2044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "SC",
            "license": "1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WilsonGroup, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jakiyah Wilkins
• William a. Burn, III, DMD, PC
• Natilie Williams
• Jessica Williford
• Audrey Wilson- Alston, OTA
• Jenna Lynne Wiltsie
• Janeen Jensen Wood, NP-C
• Matt Wood, M.ED, BCBA
• Caralee Lackore Workman, APRN
• Alice F Wyatt, N.P.

• Contractor in Irmo, SC
• Providers in Irmo, SC by specialty
• Contractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.