Active NPI
Jamie Wilkins
- Occupational Therapist
- Fort Worth, TX
National Provider Identifier
1619241544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114552
- Practice address
- 2853 Crockett St
Fort Worth, TX 76107 - Phone
- (304) 669-6958
- NPI assigned
- Feb 23, 2012
- 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 Therapist | 225X00000X | 114552 | TX | Primary |
Addresses
Primary practice location
2853 Crockett St
Fort Worth, TX 76107
Mailing address
2853 Crockett St
Fort Worth, TX 76107-2970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114552 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dysphagia Specialists, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
301 S Duck St
Ste 1
Stillwater, OK 74074
Phone (405) 377-8255
301 S Duck St
Stillwater, OK 74074
Phone (405) 377-8255
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1356746184
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1619241544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2853 CROCKETT ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2853 CROCKETT ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "304-669-6958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.