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

Jesse Wilcock, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1528487840

Jesse Wilcock, OTR/L is a Pediatric Occupational Therapist in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
Specialties on file
4
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

218 W White Mountain Blvd Ste A & B
Lakeside, AZ 85929-7013
Phone: (928) 367-5779
Fax: (928) 367-5778
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5751 (AZ)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 5751 (AZ)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence 5751 (AZ)
Mental Health Occupational Therapist Taxonomy 225XM0800X · Licence 5751 (AZ)

Record details

NPI number1528487840
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 15, 2014