NPIMap

Organization Active NPI

Occupational Wisdom, PLLC

  • Occupational Therapist
  • Reidsville, NC
National Provider Identifier
1669984779
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8184 Issued in NC
Legal business name
OCCUPATIONAL WISDOM, PLLC
Practice address
121 Vaughn Rd
Reidsville, NC 27320-9253
Phone
(336) 432-9533
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Connie Beliczky Reynolds, MS-OTR/LNPI 1205232774
Title
Occupational Therapist
Phone
(336) 432-9533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 8184 NC Primary

Addresses

Primary practice location

121 Vaughn Rd
Reidsville, NC 27320-9253

Mailing address

121 Vaughn Rd
Reidsville, NC 27320-9253
Phone (336) 432-9533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1669984779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VAUGHN RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209253",
            "telephone_number": "336-432-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VAUGHN RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209253",
            "telephone_number": "336-432-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL WISDOM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "BELICZKY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "336-432-9533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.