Active NPI
Megan Carol Wilson, OTR/L
- Pediatric Occupational Therapist
- Lubbock, TX
National Provider Identifier
1508236282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 122758
- Practice address
- 6502 Slide Rd Ste 204
Lubbock, TX 79424-1311 - Phone
- (806) 686-0429
- NPI assigned
- Oct 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | 122758 | TX | Primary |
Addresses
Primary practice location
6502 Slide Rd Ste 204
Lubbock, TX 79424-1311
Mailing address
6502 Slide Rd Ste 204
Lubbock, TX 79424-1311
Other practice location 1
1443 W 800 N Ste 103
Orem, UT 84057-2878
Phone (801) 655-4950
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 |
|---|---|---|---|
| 122758 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1508236282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6502 SLIDE RD STE 204",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 SLIDE RD STE 204",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241311",
"telephone_number": "806-686-0429"
}
],
"practiceLocations": [
{
"address_1": "1443 W 800 N Ste 103",
"address_purpose": "LOCATION",
"city": "Orem",
"state": "UT",
"postal_code": "840572878",
"country_code": "US",
"telephone_number": "801-655-4950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MEGAN",
"middle_name": "CAROL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "122758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.