Active NPI
Cheryl Lynn Wilkening, OT
- Occupational Therapist
- Grapevine, TX
National Provider Identifier
1922005198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124617
- Practice address
- 2958 Columbine Dr
Grapevine, TX 76051-3840 - Phone
- (904) 504-0520
- NPI assigned
- Jul 4, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11280 | CA | |
| Occupational Therapist | 225X00000X | 11784 | FL | |
| Occupational Therapist | 225X00000X | 003686 | GA | |
| Occupational Therapist | 225X00000X | 124617 | TX | Primary |
Addresses
Primary practice location
2958 Columbine Dr
Grapevine, TX 76051-3840
Mailing address
2958 Columbine Dr
Grapevine, TX 76051-3840
Phone (904) 504-0520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260311003293 | TX | Practitioner - Occupational Therapist in Private Practice | 8820571490 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11784 | FL | MD | Dentist |
| 11280 | CA | MD | Occupational Therapist |
| 124617 | TX | MD | Occupational Therapist |
| 003686 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 12
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.
-
- Physical Therapist
- Shorewood, WI
- NPI 1013899582
-
- Physical Therapist
- Marion, OH
- NPI 1033087325
-
- Physical Therapist
- San Diego, CA
- NPI 1134001779
-
- Physical Therapist
- Reno, NV
- NPI 1174405641
-
- Physical Therapist
- Hamden, CT
- NPI 1427930908
-
- Physical Therapist
- Flagstaff, AZ
- NPI 1609743087
-
- Physical Therapist
- Jupiter, FL
- NPI 1649144544
-
- Physical Therapist
- Plainfield, IL
- NPI 1831071471
-
- Physical Therapist
- Alpharetta, GA
- NPI 1851265755
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1992670848
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Senior Living LLC
Practice addresses (Care Compare)
2401 Green Oak Dr
Kingwood, TX 77339-2075
Phone (281) 453-3627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1922005198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2958 COLUMBINE DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513840",
"telephone_number": "904-504-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2958 COLUMBINE DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513840",
"telephone_number": "904-504-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKENING",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-04",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "11280",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "11784",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "003686",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.