Active NPI
Terri C Wilton, OTR/L
- Occupational Therapist
- Bloomington, MN
National Provider Identifier
1629844246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107286
- Practice address
- 8130 Highwood Dr
Bloomington, MN 55438-4404 - Phone
- (952) 830-9586
- NPI assigned
- Nov 27, 2023
- 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 | 107286 | MN | Primary |
Addresses
Primary practice location
8130 Highwood Dr
Bloomington, MN 55438-4404
Mailing address
8130 Highwood Dr
Bloomington, MN 55438-4404
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 |
|---|---|---|---|
| 107286 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1629844246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8130 HIGHWOOD DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554384404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 HIGHWOOD DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554384404",
"telephone_number": "952-830-9586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTON",
"first_name": "TERRI",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.