Individual provider Active NPI

Zoe Wilkens, OTD, OTR/L

  • Occupational Therapist
  • Wasilla, AK
National Provider Identifier
1760065890
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
187420 Issued in AK
Practice address
1174 N Leatherleaf Loop Unit D
Wasilla, AK 99654-6514
Phone
(907) 312-0373
Fax
(907) 376-4885
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 23080 CA
Occupational Therapist 225X00000X 187420 AK Primary

Addresses

Primary practice location

1174 N Leatherleaf Loop Unit D
Wasilla, AK 99654-6514

Mailing address

PO Box 871255
Wasilla, AK 99687-1255
Phone (907) 312-0373

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

LicenseStateTypeSpecialty
187420AKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guidepost Pediatric Therapies and Educational Services CurrentSince Dec 21, 2021 Accepting new patients

Locations

1174 N Leatherleaf Loop
Ste D
Wasilla, AK 99654
Phone (907) 312-0373

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1760065890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871255",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996871255",
            "telephone_number": "907-312-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 N LEATHERLEAF LOOP UNIT D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546514",
            "telephone_number": "907-312-0373",
            "fax_number": "907-376-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENS",
        "first_name": "ZOE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23080",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "187420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.