Donna Wise, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

208327 Issued in TX

Practice address

2300 Pool Rd
Grapevine, TX 76051-4254

Phone

(877) 852-6376

NPI assigned

Aug 12, 2011

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

• Donna Vaughn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1609155225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 TOWN AND COUNTRY BLVD APT 1410",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346897",
            "telephone_number": "806-678-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 POOL RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514254",
            "telephone_number": "877-852-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "VAUGHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christi Cantu Wilson, PNP
• Mina Wilson, OTR
• Wings of Change Psychological Services PLLC
• Elizabeth Lynn Winstead, PH.D., L.P.C.
• Kelsey Wint Brown, STUDENT
• Brian Kelly Wood, RPT
• Tiffany Marie Woods, PMHNP-BC
• Nathaniel Alan Worden, DC
• Robin E Wright, P.T.
• Alexandra Wurst, M.A., CCC-SLP

• Occupational Therapy Assistant in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.