KIM M BERG (NPI# 1053835173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053835173 |
| Entity Type | Individual |
| Full Name | KIM M BERG |
| Other Name | KIM M KELSEY |
| Credential | OTR/L |
| Practice Address |
701 Willow Street Peshtigo WI 54174 |
| Practice Telephone | 7155820144 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3018-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720236359 | Kim Natasha Berg | Pathology | 645 N Michigan Ave, Chicago, IL 60611-2826 | 2008-09-08 |
| Street Address |
701 WILLOW STREET |
| City | PESHTIGO |
| State | WI |
| Zip Code | 54174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114205960 | Cami Rose Olson | Physical Therapy Assistant | 701 Willow Street, Peshtigo, WI 54157 | 2011-07-28 |
| 1477022325 | Kaitlyn M Anderla | Speech-Language Pathologist | 701 Willow Street, Peshtigo, WI 54157-9200 | 2018-11-21 |
| 1730687252 | Ryan Weisnicht | Occupational Therapist | 701 Willow Street, Peshtigo, WI 54157 | 2018-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750412292 | St Clare Memorial Hospital, Inc | Nurse Practitioner | 913 East Main Street, Suring, WI 54174 | 2007-03-08 |
| 1003898867 | Karen Ann Zahn | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2005-11-17 |
| 1154984193 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 913 Main St, Suring, WI 54174-9012 | 2019-04-16 |
| 1316277056 | Community Memorial Hospital | Non-Pharmacy Dispensing Site | 913 Main St, Suring, WI 54174-9012 | 2009-12-31 |
| 1366622417 | Melissa Kamps | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-11-06 |
| 1457530156 | Kathleen Cecelia Raboin | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-30 |
| 1134308943 | Laura Blawat | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-29 |
| 1558540716 | Janet Lee Glime | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-24 |
| 1578641031 | Diane Lynn Boneck | Licensed Practical Nurse | 233 N Krueger St, Suring, WI 54174-9014 | 2006-11-01 |
| 1164484861 | Bellin Memorial Hospital Inc | Family Medicine | 307 Manor Dr, Suring, WI 54174-9182 | 2006-04-06 |
| Find all providers in zip 54174 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508173642 | Sara Simon | Occupational Therapist | 701 N. Lake Street, Peshtigo, WI 54157 | 2010-09-10 |
| 1730687252 | Ryan Weisnicht | Occupational Therapist | 701 Willow Street, Peshtigo, WI 54157 | 2018-01-30 |
| 1871992784 | Synthea J Ebben | Occupational Therapist | 701 Willow St, Peshtigo, WI 54157-1165 | 2014-08-15 |
| 1578713459 | Kristine Noel Koenigs | Occupational Therapist | 501 N Lake St, Peshtigo, WI 54157-1013 | 2008-09-26 |
| 1528235876 | Debra Smith | Occupational Therapist | 501 N Lake St, Peshtigo, WI 54157-1013 | 2008-05-14 |
| 1952574493 | Laurie Lotto | Occupational Therapist | 701 Willow St, Peshtigo, WI 54157-1165 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
| 1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
| 1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIM M BERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.