Active NPI
Caitlin Denise Wichnoski, OT R/L
- Occupational Therapist
- Greensboro, NC
National Provider Identifier
1649073552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17530
- Practice address
- 4100 Well Spring Dr
Greensboro, NC 27410-8857 - Phone
- (336) 545-5400
- NPI assigned
- Mar 28, 2025
- 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 | 17530 | NC | Primary |
Addresses
Primary practice location
4100 Well Spring Dr
Greensboro, NC 27410-8857
Mailing address
4100 Well Spring Dr
Greensboro, NC 27410-8857
Phone (336) 545-5400
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 |
|---|---|---|---|
| 17530 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1649073552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 WELL SPRING DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108857",
"telephone_number": "336-545-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 WELL SPRING DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108857",
"telephone_number": "336-545-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICHNOSKI",
"first_name": "CAITLIN",
"middle_name": "DENISE",
"credential": "OT R/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.