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

Mr. Jeffrey W Wickline, OTR/L

Individual provider Occupational Therapist · NPI 1760899686

Mr. Jeffrey W Wickline, OTR/L is an Occupational Therapist in Southport, North Carolina. Practices as a sole proprietor. Licensed in Connecticut and North Carolina.

Licensed in
CT, NC
In the registry since
2014
Specialties on file
2
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

3260 Oceanic Bay Dr
Southport, NC 28461-6401
Phone: (203) 217-9366
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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 9721 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 001758 (CT)

Record details

NPI number1760899686
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJuly 14, 2014
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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