Individual provider Active NPI

Cheryl Lynn Wilkening, OT

  • Occupational Therapist
  • Grapevine, TX
National Provider Identifier
1922005198
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124617 Issued in TX
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

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11784FLMDDentist
11280CAMDOccupational Therapist
124617TXMDOccupational Therapist
003686GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Jan 27, 2026 Accepting new patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Jan 27, 2026 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.

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 117 clinicians

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.

Verify at the official NPI Registry.