Wild: Women and Infants Long-Term Development, LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

WILD: WOMEN AND INFANTS LONG-TERM DEVELOPMENT, LLC

Practice address

1003 Mahone St
Fredericksburg, VA 22401-6214

Phone

(540) 693-0274

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Hayley Chrzastowski, OTD, OTR/LNPI 1295180503

Title

Founder/Owner

Phone

(812) 219-0743

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Hayley A Chrzastowski, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Fredericksburg, VA
  • NPI 1295180503
  NPD Authorized official

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1689295693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WEEDON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015640",
            "telephone_number": "812-219-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MAHONE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016214",
            "telephone_number": "540-693-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD: WOMEN AND INFANTS LONG-TERM DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CHRZASTOWSKI",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "812-219-0743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna C Wicker, MD
• Henry S Wicker Jr., M.D.
• Emelie Wiedner
• Sherrona D Wiggins
• Rachel Ann Wilcox, PHYSICIAN ASSISTANT
• Wilderness Family Chiropractic, PC
• Sherri Wilkerson-Cox, D.D.S.
• Cynthia Ann Wilkes, M.D.
• Wilks Technician LLC
• Natalie Eileen Wilks

• Occupational Medicine Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Occupational Medicine Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.