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Maxwell Wilson

Occupational Therapist β€’ Longview, WA

Active NPI 1417819848 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Triangle Center #270
Longview, WA 986322367

Call 3605013750 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Triangle Center #270

Longview, WA 986322367

Telephone 3605013750
Fax 3605013755
Organization at the Same NPPES Address or Phone
Peacehealth Facility NPI 1184106437

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Maxwell Wilson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Longview and Washington

28 active clinicians are listed under Occupational Therapist with a practice address in Longview, WA (3,085 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 28 clinicians have the CMS telehealth indicator.

14.3% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-23
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES WA 61642856

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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20260205004558

Enrollment State Jurisdiction

WA

PECOS Control ID

3173002599

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Nicole Baker

Physical Therapist

NPI 1619622776
Peter Bauchert

Physical Therapist

NPI 1194369645
Lauren Borden

Occupational Therapist

NPI 1013497338
Hannah Catlin

Speech-Language Pathologist

NPI 1013450303
Dr. Rachel Corey , DPT

Physical Therapist

NPI 1871725564

Doctor of Physical Therapy

NPI 1891291910

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location January 23, 2026

Registered at 200 TRIANGLE CENTER #270, LONGVIEW, WA 986322367 (Tel: 3605013750)

βœ…
NPI Profile Active November 24, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 24, 2025

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322367 (Tel: 3604142000)

πŸ“
Business Mailing Address (Initial Record) November 24, 2025

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322367 (Tel: 3604142000)

πŸ‘€
Provider Name / Credentials (Initial Record) November 24, 2025

Recorded as MAXWELL WILSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2025

Occupational Therapist (license number reported to NPPES: WA 61642856)

🟒
Initial NPI Registration & Enumeration November 24, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417819848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2025
Last Update: January 23, 2026
Sole Proprietor: No

Other Occupational Therapists in Longview

Healthcare providers in Longview

Mailing Address

1615 Delaware St

Longview, WA 986322367

Phone: 3604142000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.