Active NPI
June Marie Wilson, OTL
- Occupational Therapist
- La Grande, OR
National Provider Identifier
1851806194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 982567
- Practice address
- 610 Sunset Dr
La Grande, OR 97850-1269 - Phone
- (541) 963-1437
- Fax
- (541) 963-1890
- NPI assigned
- Dec 8, 2017
- 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 | 982567 | OR | Primary |
Addresses
Primary practice location
610 Sunset Dr
La Grande, OR 97850-1269
Mailing address
PO Box 3290
La Grande, OR 97850-7290
Phone (541) 963-1437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 982567 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1851806194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3290",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978507290",
"telephone_number": "541-963-1437",
"fax_number": "541-963-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SUNSET DR",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501269",
"telephone_number": "541-963-1437",
"fax_number": "541-963-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JUNE",
"middle_name": "MARIE",
"credential": "OTL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-08",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "982567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.