Kathryn Wilson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008547 Issued in AZ

Practice address

768 Dorothy St
El Cajon, CA 92019-3101

Phone

(619) 444-8270

NPI assigned

Jul 3, 2025

Last updated

Jul 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn McDermott Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Granite Hills Senior Living, Inc.

  dba Lo-Har Senior Living

  • Assisted Living Facility
  • El Cajon, CA
  • NPI 1104229012
  NPD (past)

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1568352466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 EL RANCHO DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920191141",
            "telephone_number": "951-526-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 DOROTHY ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193101",
            "telephone_number": "619-444-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MCDERMOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Bruning Wilson, RN
• Carmen L Wilson, FNP
• Christian Faith Wilson
• Cynthia Valdez Wilson
• Jasmine Natalie Wilson, RN
• Larry James Wilson, LCSW, LMSW
• Luke Daniel Wilson
• Michele Wilson, MS, CCC-SLP
• Michelle Wilson, MA
• Odell Wilson Jr.

• Occupational Therapist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.