MAXWELL WILSON
NPI 1417819848
Occupational Therapist in Longview, WA

Active since November 24, 2025Accepts Medicare Assignment
200 TRIANGLE CENTER #270, LONGVIEW, WA 98632(360) 501-3750(360) 501-3755 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2026, Nov 24, 2025 (2 updates tracked since 2025).

About Maxwell Wilson NPPES

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

MAXWELL WILSON (NPI 1417819848) is an individual occupational therapist in Longview, Washington, licensed in Washington (61642856) and active in the NPI registry since November 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1417819848
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMAXWELL WILSON
Location Address200 TRIANGLE CENTER #270Longview, WA 98632-2367
Mailing Address1615 Delaware StLongview, WA 98632-2367 · (360) 414-2000
Fax(360) 501-3755
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 24, 2025
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1417819848 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 WA · 61642856
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.

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maxwell Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173002599
PECOS Enrollment IDI20260205004558

Medicare Billing Reassignment

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

Multi-Specialty
1615 DELAWARE ST
Longview, WA 98632
  • Reassigned Medicare billing, Washington enrollment
  • 308 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 5

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

Physical Therapist
200 TRIANGLE CENTER #270
LONGVIEW, WA 98632
Occupational Therapist
200 TRIANGLE CENTER #270
LONGVIEW, WA 98632
Physical Therapist
200 TRIANGLE CENTER #270
LONGVIEW, WA 98632
Occupational Therapist
200 TRIANGLE CENTER #270
LONGVIEW, WA 98632
Physical Therapist
200 TRIANGLE CENTER #270
LONGVIEW, WA 98632

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 Maxwell Wilson's NPI number?

The NPI number for Maxwell Wilson is 1417819848. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Maxwell Wilson located?

Maxwell Wilson practices at 200 Triangle Center #270, Longview, WA 98632. The listed phone number is (360) 501-3750.

What is Maxwell Wilson's specialty?

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

Is Maxwell Wilson enrolled in Medicare?

Yes. Maxwell Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maxwell Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxwell Wilson reassigns Medicare benefits to Peacehealth (Longview, WA). 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 Maxwell Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maxwell Wilson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Maxwell Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxwell Wilson was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.