Individual provider Active NPI

Cynthia Ann Wilson, OTA/L

  • Occupational Therapy Assistant
  • Lake Worth, FL
National Provider Identifier
1922279090
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA544 Issued in FL
Practice address
7273 Saint Andrews Rd
Lake Worth, FL 33467-1316
Phone
(561) 543-5881
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA544 FL Primary
Developmental Therapist 222Q00000X OTA 544 FL

Addresses

Primary practice location

7273 Saint Andrews Rd
Lake Worth, FL 33467-1316

Mailing address

1779 N Congress Ave # 398
Boynton Beach, FL 33426-8205
Phone (561) 731-1975

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA 544FLMDDevelopmental Therapist
OTA544FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Therapy in Motion, Inc. Occupational Therapy Assistant Past Accepting new patients

Organizations & group practices 1

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1922279090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 N CONGRESS AVE # 398",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268205",
            "telephone_number": "561-731-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 SAINT ANDREWS RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671316",
            "telephone_number": "561-543-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA544",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "OTA 544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.