Jason Wildeman in Bentonville - Occupational Therapist
Jason Wildeman - NPI 1396701520
Jason Wildeman is a Occupational Therapist in Bentonville, Arkansas. Jason Wildeman practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jason Wildeman is 1396701520. The last update date is 2007-07-09.
Jason Wildeman's current location address is 3351 Sw 4th St, Bentonville, Arkansas. You can contact this provider via phone number 4799366265. The mailing address for Jason Wildeman is 3351 Sw 4th St, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Wildeman |
|---|---|
| Address | 3351 Sw 4th St, Bentonville, Arkansas |
| Phone Number | 4799366265 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1396701520 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3351 Sw 4th St |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 727129137 |
| Phone Number | 4799366265 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OTR 1463 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5W780 | AR | BLUECROSS BLUESHIELD |
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What is the unique 10-digit identifier code issued to Jason Wildeman by the Centers for Medicare & Medicaid Services?
The Jason Wildeman has been assigned the NPI (National Provider Identifier) 1396701520 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jason Wildeman located?
The Jason Wildeman is located at 3351 Sw 4Th St, Bentonville, AR 727129137.
What is Jason Wildeman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason Wildeman's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did Jason Wildeman receive its 1396701520 assignment from the Centers for Medicare & Medicaid Services?
The Jason Wildeman was assigned its 1396701520 on 2006-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jason Wildeman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Wildeman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.