| Tyler Ray Wilson, OTR/L | |
| 900 E Airport Rd, Okmulgee, OK 74447-9082 | |
| (918) 260-4613 | |
| Not Available | 
| Full Name | Tyler Ray Wilson | 
|---|---|
| Gender | Male | 
| Speciality | Occupational Therapist | 
| Location | 900 E Airport Rd, Okmulgee, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447986062 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5687 (Oklahoma) | Primary | 
| Provider Name | Cherokee Nation | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tyler Ray Wilson, OTR/L 1116 S Xanthus Pl, Tulsa, OK 74104-3812 Ph: (918) 260-4613 | Tyler Ray Wilson, OTR/L 900 E Airport Rd, Okmulgee, OK 74447-9082 Ph: (918) 260-4613 | 
| Brandi Hignite, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 E 6th St, Okmulgee, OK 74447 Phone: 918-938-0887 | |
| Paul Hailes, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Airport Road, Okmulgee, OK 74447 Phone: 918-756-9211 Fax: 918-756-9452 | |
| Impact Rehab Consultants Occupational Therapist Medicare: Medicare Enrolled Practice Location: 813 E 6th St Ste 300, Okmulgee, OK 74447 Phone: 918-756-3330 Fax: 918-756-3332 | |
| Kristine Grunewald Siegenthaler, OTRL/CHT/CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 W 7th St, Okmulgee, OK 74447 Phone: 918-756-3330 Fax: 918-756-3332 |