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

Tori Jae Wickham

Individual provider Occupational Therapist · NPI 1992529655

Tori Jae Wickham is an Occupational Therapist in Private Practice in Chandler, Arizona. Qualified in 2024, 2 years ago. Practices with Advanced Neurologic Rehabilitation, a 35-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

3160 N Arizona Ave Ste 106
Chandler, AZ 85225-7122
Phone: (480) 699-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4225 Guadalupe St, Austin, TX 78751-4224 — (737) 204-0089

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1992529655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address4225 Guadalupe St, Austin, TX 78751-4224

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Advanced Neurologic Rehabilitation — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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