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

Mr. Jason Wildeman, OTR/L

Individual provider Occupational Therapist · NPI 1396701520

Mr. Jason Wildeman, OTR/L is an Occupational Therapist in Bentonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3351 SW 4th St
Bentonville, AR 72712-9137
Phone: (479) 936-6265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTR 1463 (AR)

Record details

NPI number1396701520
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESJuly 13, 2026

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