Christopher Wallace Wilkes, OTR/L
Individual provider Active NPI Occupational Therapist · Adrian, GA
NPI 1508005901 · NPPES record last updated Mar 13, 2009
Key facts
- NPI
- 1508005901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT004805 (GA)
- Practice address
- 1350 Bay Springs Church Rd
Adrian, GA 31002-4247 - Phone
- (478) 668-3428
- NPI assigned
- Feb 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Physical Therapy and Rehabilitation Center, Inc. | Past | Accepting new patients | |
| Bass Physical Therapy and Rehabilitation Center Inc | Past | Accepting new patients | |
| Wilkes Rehab LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004805 | GA | Yes |
Addresses
Primary practice location
1350 Bay Springs Church Rd
Adrian, GA 31002-4247
Mailing address
1350 Bay Springs Church Rd
Adrian, GA 31002-4247
Phone (478) 668-3428
Other providers in Adrian, GA
- Johnson County Nursing Home, Inc.
- Johnson County Nursing Home, Inc.
- Royal Oaks Retirement Center
- Brittany Lynn Strickland
- Wilkes Rehab LLC
All providers in Adrian, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.