DESIREE WILDEMAN (NPI# 1205100203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205100203 |
| Entity Type | Individual |
| Full Name | DESIREE WILDEMAN |
| Credential | OTR/L |
| Practice Address |
3060 Frontier Way Fargo ND 58104-8909 |
| Practice Telephone | 7012322340 |
| Practice Fax Number | 7012322330 |
| Mailing Telephone | 7012322340 |
| Mailing Fax Number | 7012322330 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
1221 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3060 FRONTIER WAY |
| City | FARGO |
| State | ND |
| Zip Code | 58104-8909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275680720 | Jodi Denee Hendrickson | Physical Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2007-01-05 |
| 1548601164 | Lora Rogness | Speech-Language Pathologist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2013-07-11 |
| 1780021097 | Barbra Matthews | Occupational Therapy Assistant | 3060 Frontier Way, Fargo, ND 58104-8909 | 2013-05-28 |
| 1962743690 | Sarah Rodenburg | Occupational Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2013-03-05 |
| 1720322373 | Stacy Henrich | Speech-Language Pathologist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2012-11-20 |
| 1215201314 | Alyssa Lynn Sauvageau | Occupational Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
|---|---|---|---|---|
| 1386853802 | Anna Lee Meissner | Occupational Therapist | 6681 56th Ave S, Fargo, ND 58104-5655 | 2007-05-21 |
| 1093831026 | Mary Susan Baumgartner | Occupational Therapist | 4372 52nd St S, Fargo, ND 58104-4237 | 2007-03-21 |
| 1861540973 | Stephen Preston Olson | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2007-01-08 |
| 1467539353 | Kristi Eslinger | Occupational Therapist | 2933 37th Ave S, Fargo, ND 58104-7046 | 2006-11-01 |
| 1376188623 | Kennedy Bresnahan | Occupational Therapist | 3509 Interstate Blvd S Ste B, Fargo, ND 58103-2200 | 2019-11-11 |
| 1952832271 | Jill A. Stroup | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2017-03-27 |
| 1639551377 | Carlie Danielle Rinas | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2015-06-18 |
| 1124414172 | Kacey Tomchuk | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2015-04-07 |
| 1447653910 | Lacey D Rust | Occupational Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-09-29 |
| 1326440900 | Kelli Erdmann | Occupational Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-09-25 |
| Find all providers in FARGO | ||||
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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.