Active NPI
Kourtney Kelee Wilson, OTD
- Occupational Therapist
- Tucson, AZ
National Provider Identifier
1821581885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 6320 N la Cholla Blvd Ste 310
Tucson, AZ 85741-3552 - Phone
- (520) 382-8200
- Fax
- (520) 297-3505
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
6320 N la Cholla Blvd Ste 310
Tucson, AZ 85741-3552
Mailing address
11645 N Copper Creek Dr
Oro Valley, AZ 85737-9219
Phone (520) 904-8037
Other practice location 1
2021 K St NW Ste 215
Washington, DC 20006-1003
Phone (855) 546-0889
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1821581885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 N COPPER CREEK DR",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857379219",
"telephone_number": "520-904-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 N LA CHOLLA BLVD STE 310",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413552",
"telephone_number": "520-382-8200",
"fax_number": "520-297-3505"
}
],
"practiceLocations": [
{
"address_1": "2021 K St NW Ste 215",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200061003",
"country_code": "US",
"telephone_number": "855-546-0889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "KOURTNEY",
"middle_name": "KELEE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.