Active NPI
Holly Wilson
- Occupational Therapy Assistant
- Lancaster, OH
National Provider Identifier
1609273291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2039
- Practice address
- 345 E Mulberry St
Lancaster, OH 43130-3166 - Phone
- (740) 687-7360
- NPI assigned
- Nov 25, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2039 | OH | Primary |
Addresses
Primary practice location
345 E Mulberry St
Lancaster, OH 43130-3166
Mailing address
105 Shady LN
Somerset, OH 43783-1103
Phone (740) 272-2629
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 |
|---|---|---|---|
| 2039 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1609273291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SHADY LN",
"city": "SOMERSET",
"state": "OH",
"postal_code": "437831103",
"telephone_number": "740-272-2629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E MULBERRY ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303166",
"telephone_number": "740-687-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "2039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.