Charles William Wilson, OTR/L
NPI 1811602865ActiveIndividual· Occupational Therapist· Glendale, AZ
Occupational Therapist (OTR/L) with Banner - University Physician Specialists LLC and 1 other group, practicing in Glendale, Arizona. Medicare paid $22,695 for services to 15 patients in 2024.
Overview
| NPI | 1811602865 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Jan 13, 2023 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OTH-006074 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 1,129 across 5 procedure codes |
| Paid by Medicare | $22,695 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical groups
- Banner - University Physician Specialists LLCPhoenix, AZ · 348 clinicians
- Midwestern UniversityDowners Grove, IL · 115 clinicians
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All 115 occupational therapists in Glendale · All occupational therapists in Arizona