Marlene W Wiggins, O.T

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119000731 Issued in VA

Practice address

1705 N Main St
Suffolk, VA 23434-4340

Phone

(757) 923-5054

Fax

(757) 923-5053

NPI assigned

May 29, 2012

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)

Enrolled

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.

• Tri Concepts, Inc

  • Occupational Therapist
  • Suffolk, VA
  • NPI 1871772228
  NPD (past) Authorized official

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1689934333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344340",
            "telephone_number": "757-923-5054",
            "fax_number": "757-923-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344340",
            "telephone_number": "757-923-5054",
            "fax_number": "757-923-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "MARLENE",
        "middle_name": "W",
        "credential": "O.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119000731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lynne Whitehorne, ACNPC-AG
• Floyd David Whitehurst, RPH
• Alexis Whiteside
• Holly Kristin Whiting, FNP
• Carrie M Wiggins, RESIDENT COUNSELING
• Michelle Wiggins, LPC
• Terrell O'Neal Wiggins
• Matthew Thomas Wilcox, PHARMD
• Christy Wild, PA-C
• Kristin L Wilkerson

• Occupational Therapist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.