KIMBERLY GRAY MANGUM (NPI# 1154518876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154518876 |
| Entity Type | Individual |
| Full Name | KIMBERLY GRAY MANGUM |
| Credential | MOT, OTR/L |
| Practice Address |
7209 Creedmoor Rd Suite 101 Raleigh NC 27613-1625 |
| Mailing Address |
11725 Stannary Pl Raleigh NC 27613-7814 |
| Practice Telephone | 9198441100 |
| Mailing Telephone | 3526828996 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
6619 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7209 CREEDMOOR RD SUITE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649371535 | Annmarie Dora Quilty | Occupational Therapist | 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625 | 2006-09-26 |
| 1790109288 | Brittany Woerner | Occupational Therapist | 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625 | 2014-02-05 |
| 1891033445 | Emelia R Langston | Occupational Therapist | 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625 | 2013-01-16 |
| 1942435938 | Melissa Miller | Occupational Therapist | 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625 | 2009-05-20 |
| 1093977860 | Marialyce D Coogan | Occupational Therapist | 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625 | 2008-07-01 |
| 1700046653 | Jennifer Shiverick Muise | Occupational Therapist | 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625 | 2008-06-13 |
| 1376662585 | Dawn Marie Rohlik | Occupational Therapist | 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| Find all providers in zip 27613 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114379 | Christopher Michael Wrzesien | Occupational Therapist | 12321 Inglehurst Dr, Raleigh, NC 27613-5522 | 2020-08-11 |
| 1245797471 | Karen Chasen | Occupational Therapist | 801 E Hargett St, Raleigh, NC 27601-1631 | 2019-02-25 |
| 1609260918 | Jamie S Throndset | Occupational Therapist | 8608 Carriage Tour Ln, Raleigh, NC 27615-3145 | 2015-03-25 |
| 1962841668 | Lauren Shampine | Occupational Therapist | 5209 Nesue Tavern Ct, Raleigh, NC 27616 | 2013-06-17 |
| 1023319266 | Pamela Dombrowski | Occupational Therapist | 2109 Winnie Pl, Raleigh, NC 27603-2776 | 2010-11-04 |
| 1073652251 | Julia L Hollingsworth | Occupational Therapist | 6616 Keystone Dr, Raleigh, NC 27612-5208 | 2007-02-05 |
| 1083760557 | Mara Marie Cappelletti | Occupational Therapist | 4924 Holland Church Rd, Raleigh, NC 27603-9729 | 2007-01-26 |
| 1740355262 | Advantage Speech Therapy LLC | Occupational Therapist | 8402 Six Forks Rd Ste 101, Raleigh, NC 27615-3071 | 2006-11-21 |
| 1104930452 | Cindy Szymanski Whilden | Occupational Therapist | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2006-08-17 |
| 1639282403 | Robin Tutor | Occupational Therapist | 4901 Glenwood Ave, Raleigh, NC 27612-3820 | 2006-08-16 |
| Find all providers in RALEIGH | ||||
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| 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.