Beth Wilder, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00000616 Issued in WA

Practice address

7618 Fair Oaks Rd SE
Olympia, WA 98513-6421

Phone

(360) 493-2006

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1821070046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15196",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985115196",
            "telephone_number": "360-493-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 FAIR OAKS RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136421",
            "telephone_number": "360-493-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "BETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7681570",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Wightman-Massey, MS CCC-SLP
• Kristine Wigley, MT
• Patricia Anne Wilburn, LMP
• Micah Wilcox
• Shannon Nicole Wilcox, PT
• Jack Anthony Wilder, PT
• James Robert Wilder, DMD
• Wildflower Telehealth Network Inc.
• Wildwood Speech Therapy LLC
• Elizabeth Ann Wiley, MD, JD, MPH

• Occupational Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Occupational Therapist in Washington

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