Adele Jean Wilson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026142 Issued in NY

Practice address

475 S Main St
Hinesville, GA 31313-4312

Phone

(585) 755-0977

NPI assigned

Nov 6, 2023

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.

• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Brunswick, GA
  • NPI 1366016032
  NPD (past)
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Richmond Hill, GA
  • NPI 1447773908
  NPD (past)
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Hinesville, GA
  • NPI 1588187090
  NPD (past)
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Kingsland, GA
  • NPI 1780264994
  NPD (past)
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Pembroke, GA
  • NPI 1790289544
  NPD (past)
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Jesup, GA
  • NPI 1831782887
  NPD (past)

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1639942014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HERITAGE DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133304",
            "telephone_number": "585-755-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S MAIN ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134312",
            "telephone_number": "585-755-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADELE",
        "middle_name": "JEAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacie Anise Williams, PT, DPT
• Shaniyah Charnell Williams
• Shelby Edwards Williams, NP
• Takiya Williams
• Tara D Willifiord
• Kyesha Wilson
• Veronica Monique Wilson
• Khaliah Wimberly
• Versie Wimberly
• Dana Lee Womack

• All providers in Hinesville, GA
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.