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Staci Tibbs Wilson

Low Vision Occupational Therapist - Gerontology Occupational Therapist - Neurorehabilitation

13212 Lone Creek Ln
Pearland , Texas 77584-3476

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Occupational Therapist - Gerontology
  • Low Vision
  • Occupational Therapist - Neurorehabilitation

Languages spoken

  • English

Location

13212 Lone Creek Ln Pearland , Texas 77584-3476

First Address

  • Staci Tibbs Wilson
  • 11601 Shadow Creek Pkwy Ste 111-216
  • Pearland, TX
  • Zip : 77584-7283
  • Fax : (855) 710-7269
  • Phone : (713) 280-3663

Second Address

  • Staci Tibbs Wilson
  • 13212 Lone Creek Ln
  • Pearland, TX
  • Zip : 77584-3476
  • Fax : (855) 710-7269
  • Phone : (713) 280-3663

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FAQs


Where did Staci Tibbs Wilson attend graduate school?

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Where did Staci Tibbs Wilson do her residency?

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Where did Staci Tibbs Wilson do her fellowship?

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Is Staci Tibbs Wilson board certified?

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What type of doctor is Staci Tibbs Wilson

Low Vision

In what state does Staci Tibbs Wilson practice in?

Texas

Where is Staci Tibbs Wilson ’s practice located?

13212 Lone Creek Ln , Pearland, Texas, 77584-3476

What is Staci Tibbs Wilson ’s gender?

Female

Is Staci Tibbs Wilson a sole practitioner?

No

Is Staci Tibbs Wilson accepting new patients?

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What languages does Staci Tibbs Wilson speak?

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Does Staci Tibbs Wilson accept insurance?

Yes, Staci Tibbs Wilson accepts insurance

Does Staci Tibbs Wilson offers telemedicine?

Staci Tibbs Wilson has not indicated if she offers telemedicine

What is Staci Tibbs Wilson ’s professional license number?

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What is Staci Tibbs Wilson ’s NPI number?

1598163511

Does Staci Tibbs Wilson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 225XG0600X Occupational Therapist - Gerontology
Y 225XL0004X Low Vision 112297 TX
N 225XN1300X Occupational Therapist - Neurorehabilitation

National Provider Identifier

NPI 1598163511
Provider Name Staci Tibbs Wilson
First Address Pearland, TX 77584-7283
Second Address Pearland, TX 77584-3476
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 08/12/2014
Last Update Date 04/02/2022

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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