Individual provider Active NPI

William Jeffery Wright, OTR/L

  • Occupational Therapist
  • Jackson, TN
National Provider Identifier
1881777449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000001528 Issued in TN
Practice address
118 Devonshire SQ Ste 7
Jackson, TN 38305-2267
Phone
(731) 660-5902
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0000001528 TN Primary

Addresses

Primary practice location

118 Devonshire SQ Ste 7
Jackson, TN 38305-2267

Mailing address

2621 Highway 104 N
Cedar Grove, TN 38321-4074
Phone (731) 968-8891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213001436 TN Practitioner - Occupational Therapist in Private Practice 1456887413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TN Therapy Outsource, LLCGroup PAC ID 2668725664, 13 clinicians

Practice addresses (Care Compare)

1296 Union University Dr
Jackson, TN 38305-3714
Phone (865) 406-7675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1528TNMDMarriage & Family Therapist
OT0000001528TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Nov 14, 2024 Accepting new patients
TN Therapy Outsource, LLC CurrentSince Oct 12, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Nov 14, 2024 Accepting new patients
Physical Therapy of Jackson PC. PastSince Nov 1, 2001 Accepting new patients

Locations

1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 377-7500

1118 Whitehall St
Jackson, TN 38301
Phone (731) 215-0949

1296 Union University Dr
Ste G
Jackson, TN 38305
Phone (865) 406-7675

2782 N Highland Ave
Ste A
Jackson, TN 38305
Phone (731) 664-1172

849 Volunteer Dr
Ste B
Paris, TN 38242
Phone (731) 215-0919

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881777449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 HIGHWAY 104 N",
            "city": "CEDAR GROVE",
            "state": "TN",
            "postal_code": "383214074",
            "telephone_number": "731-968-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DEVONSHIRE SQ STE 7",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052267",
            "telephone_number": "731-660-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "WILLIAM",
        "middle_name": "JEFFERY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000001528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.