Jeffrey Wilbur, OTL, CSCS

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

5201004147 Issued in MI

Practice address

28555 Orchard Lake Rd
Suite #106
Farmington Hills, MI 48334-2973

Phone

(248) 788-4300

NPI assigned

Nov 25, 2013

Sex

Male

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lifeskillsvillagepllc.jeffwilbur@125235.advancedmd-direct.com

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.

• Mylife Home Health Care

  • Home Health Agency
  • Clinton Township, MI
  • NPI 1821246547
  NPD (past) Authorized official

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1700216975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43889 RIVERGATE DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381361",
            "telephone_number": "586-822-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28555 ORCHARD LAKE RD",
            "address_2": "SUITE #106",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342973",
            "telephone_number": "248-788-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "OTL, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201004147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wiitanen
• Tearnee Wilbert
• Chandra Wilbon
• Jerome Wilborn, M.D.
• Capria Wilbourn
• Allison Wilburn
• Amari Wilburn
• Amethyst Wilburn
• Brianna Wilburn
• Lakisha Wilburn

• Neurorehabilitation Occupational Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Neurorehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.