Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKLYN COLBY WILSON OT
NPI 1376450999
Occupational Therapist in Portsmouth, RI

Active since August 27, 2026
125 QUAKER HILL LN, PORTSMOUTH, RI 02871(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacklyn Colby Wilson Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN COLBY WILSON OT (NPI 1376450999) is an individual occupational therapist in Portsmouth, Rhode Island, licensed in Rhode Island (OT02093) and active in the NPI registry since August 2026. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1376450999
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJACKLYN COLBY WILSONCredential: OT
Location Address125 QUAKER HILL LNPortsmouth, RI 02871-4072
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Fax(877) 407-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1376450999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in RI · OT02093
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
125 QUAKER HILL LN, Portsmouth, RI 02871

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacklyn Colby Wilson Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264992577
PECOS Enrollment IDI20260907000452

Medicare Billing Reassignment

Medicare enrollment records show Jacklyn Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
10 DORRANCE ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
125 QUAKER HILL LN
PORTSMOUTH, RI 02871
Occupational Therapist
125 QUAKER HILL LN
PORTSMOUTH, RI 02871
Occupational Therapist
125 QUAKER HILL LN
PORTSMOUTH, RI 02871
Occupational Therapist
125 QUAKER HILL LN
PORTSMOUTH, RI 02871
Speech-Language Pathologist
125 QUAKER HILL LN
PORTSMOUTH, RI 02871
Assisted Living Facility
125 QUAKER HILL LN
PORTSMOUTH, RI 02871
Speech-Language Pathologist
125 QUAKER HILL LN
PORTSMOUTH, RI 02871
Physical Therapist
125 QUAKER HILL LN
PORTSMOUTH, RI 02871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Wilson's NPI number?

The NPI number for Jacklyn Wilson is 1376450999. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Where is Jacklyn Wilson located?

Jacklyn Wilson practices at 125 Quaker Hill Ln, Portsmouth, RI 02871. The listed phone number is (877) 407-3422.

What is Jacklyn Wilson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jacklyn Wilson enrolled in Medicare?

Yes. Jacklyn Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacklyn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Wilson reassigns Medicare benefits to Fox Rehab Of Ri PC (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacklyn Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacklyn Wilson was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.