Active NPI
Kaitlin Mulvaney-Wilson, OTR/L
- Occupational Therapist
- Windsor, CA
National Provider Identifier
1962345330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 28334
- Practice address
- 8911 Lakewood Dr Ste 29
Windsor, CA 95492-7860 - Phone
- (602) 579-0022
- NPI assigned
- Apr 10, 2026
- 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 | 28334 | CA | Primary |
Addresses
Primary practice location
8911 Lakewood Dr Ste 29
Windsor, CA 95492-7860
Mailing address
300 Stony Point Rd Apt 145
Santa Rosa, CA 95401-5948
Phone (602) 579-0022
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1962345330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STONY POINT RD APT 145",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015948",
"telephone_number": "602-579-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8911 LAKEWOOD DR STE 29",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927860",
"telephone_number": "602-579-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULVANEY-WILSON",
"first_name": "KAITLIN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-10",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "28334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.