Jessica Nicole Wiley, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121315 Issued in TX

Practice address

2475 Southline Rd
Conroe, TX 77384-4363

Phone

(936) 271-1337

Fax

(832) 442-4146

NPI assigned

Jun 18, 2021

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

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 and National Provider Directory roles.

• Ability and Beyond

  • Occupational Therapist
  • Conroe, TX
  • NPI 1700353885
  NPD (past)
• Ability and Beyond, PLLC

  • Occupational Therapist
  • Conroe, TX
  • NPI 1609200930
  NPD (past)
• Neurosync Center, LLC

  • Behavior Analyst
  • The Woodlands, TX
  • NPI 1861070054

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1619546207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7296",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773877296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 SOUTHLINE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844363",
            "telephone_number": "936-271-1337",
            "fax_number": "832-442-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25814 Oak Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802016",
            "country_code": "US",
            "telephone_number": "281-771-3014",
            "fax_number": "832-442-4146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton White
• Rachel Ann White, RN
• Joseph D Whitt, MD
• Grayson Brulie Whitten
• Joshua Tyler Wiatt
• Richard Stephen Wilkenfeld, M.D.
• Mark Howard Wilkerson, MD
• Melissa Kay Wilkin, FNP
• Dawn Lynnelle Williams-Voorbeijtel, M.D.
• Georgia Ann Williams-Zuccaro, LPC

• Occupational Therapist in Conroe, TX
• Providers in Conroe, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.