KIMBERLY GRAY MANGUM


Address: 7209 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1625
Phone: 9198441100

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 7209 CREEDMOOR RD
SUITE 101
City RALEIGH
State NC
Zip Code 27613-1625

Providers in the same location

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

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1285151860 Walgreen Co Durable Medical Equipment & Medical Supplies 13300 Stickland Rd, Raleigh, NC 27613 2017-08-24
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

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:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

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
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City RALEIGH
Zip Code 27613

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Dataset Information

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.

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