MR. WILSON JEFFREY (NPI# 1184164287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184164287 |
| Entity Type | Individual |
| Full Name | MR. WILSON JEFFREY |
| Credential | OTR/L |
| Practice Address |
Address: 235 New Wilson Lane Middlesboro KY 40965 |
| Mailing Address |
658 Paula Drive Pineville KY 40977 |
| Practice Telephone | 6062480925 |
| Mailing Telephone | 6063065174 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 172346 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
ADDRESS: 235 NEW WILSON LANE |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| 1023488665 | Cornerstone Christian Counseling | Community/Behavioral Health | 1759 North 25 Street, Middlesboro, KY 40965 | 2015-09-25 |
| Find all providers in zip 40965 | ||||
| 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 |
|---|---|---|---|---|
| 1932714888 | Elevation Therapy, LLC | Occupational Therapist | 1510 Cumberland Ave, Middlesboro, KY 40965-1223 | 2020-09-08 |
| 1831482017 | Jenny Marie Mills | Occupational Therapist | 1600 Winchester Ave, Middlesboro, KY 40965-2426 | 2011-05-22 |
| 1689066243 | Brooke Burchfield | Occupational Therapist | 3600 Cumberland Ave, Middlesboro, KY 40965-2614 | 2015-02-19 |
| 1346400835 | Chris Harris | Occupational Therapist | 3600 Cumberland Ave, Middlesboro, KY 40965-2614 | 2008-06-10 |
| 1124001201 | Melanie Diane Harris | Occupational Therapist | 3600 Cumberland Ave, Middlesboro, KY 40965-2614 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
| 1023624061 | Danette Moran | Occupational Therapist | 10503 Vista Hills Blvd, Louisville, KY 40291-4940 | 2020-09-16 |
| 1679188486 | Ada Leshea Lawson | Occupational Therapist | 1131 Terry St, Raceland, KY 41169-1906 | 2020-09-09 |
| 1952912073 | Mckenzee Muenchen | Occupational Therapist | 6913 Gordon Blvd, Burlington, KY 41005-6563 | 2020-08-12 |
| 1720699929 | Bridget Virginia Carrithers | Occupational Therapist | 13510 Terrace Creek Dr Apt 201, Louisville, KY 40245-5842 | 2020-08-11 |
| 1346850096 | Annie White | Occupational Therapist | 1627 Nightingale Rd, Louisville, KY 40213-1007 | 2020-08-07 |
| 1508475500 | Tammy Hicks | Occupational Therapist | 701 Liberty Ridge Ln, Lexington, KY 40509-4564 | 2020-07-26 |
| 1336758333 | Kristin Sha Bowen | Occupational Therapist | 11610 Apex View Dr Apt 202, Louisville, KY 40229-8308 | 2020-07-26 |
| 1285252635 | Jessica L. Hughes | Occupational Therapist | 120 Roark Rd, Leitchfield, KY 42754-8241 | 2020-07-13 |
| 1437776895 | Lauren Michelle Chapman | Occupational Therapist | 1456 Meadowthorpe Ave Apt 2, Lexington, KY 40511-2069 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.