Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Wiles

Individual provider Occupational Therapist · NPI 1669065694

Jacob Wiles is an Occupational Therapist in Statesville, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

104 Bramblewood Dr
Statesville, NC 28625-2169
Phone: (704) 880-6314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1669065694
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2021
Last updated in NPPESFebruary 20, 2021
Certification dateFebruary 20, 2021

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