Carlie Wick, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3537 Issued in AR

Practice address

2070 McKenzie Street
#C
Springdale, AR 72762

Phone

(479) 750-7778

NPI assigned

Aug 23, 2021

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jarvis Pediatric Therapy, Inc.

  • Specialist
  • Springdale, AR
  • NPI 1467561688

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1568138121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 RICHARDSON RD",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727309404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 MCKENZIE STREET",
            "address_2": "#C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-750-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "CARLIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3536",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPY",
            "identifier": "458070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Elizabeth Whiteside, PHD
• Julia D Whitley
• Boyd Otho Whitlock III, DDS, MS, PA
• Kami Diann Whittmore, REGISTERED NURSE
• Whole Life Services
• Lisa Wicker
• Erica Dawn Wiebe, M.D.
• Ashlyn Wiggins, SLP
• Courtney Dawn Wiggins, MHPP
• Demarcus G Wiggins, BS, QBHP

• Occupational Therapist in Springdale, AR
• Providers in Springdale, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.