KIMBERLY WALTERS BEAVER (NPI# 1265080634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265080634 |
| Entity Type | Individual |
| Full Name | KIMBERLY WALTERS BEAVER |
| Credential | COTA/L |
| Practice Address |
6000 Fayetteville Rd Durham NC 27713-9754 |
| Mailing Address |
2530 Barwick Dr Durham NC 27704-4006 |
| Practice Telephone | 9195449021 |
| Mailing Telephone | 9194515100 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 7438 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6000 FAYETTEVILLE RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-9754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267978 | Matthew R Morrison | Physical Therapist | 6000 Fayetteville Rd, Durham, NC 27713 | 2006-03-08 |
| 1477104909 | Rachel L Sammons | Physical Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-09-25 |
| 1134777477 | Allan Richard Forbes919 | Physical Therapist | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-08-29 |
| 1265080840 | Michael K Boyd | Occupational Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-08-28 |
| 1750939377 | Cape Lee Chappell | Physical Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-08-27 |
| 1871141655 | Miki Manish Koradia | Occupational Therapist | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-08-26 |
| 1740837541 | Elise Eva Gough | Physical Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-08-26 |
| 1316507007 | Julia Caroline Johnson | Occupational Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-06-16 |
| 1194380030 | Lashaun Linder | Physical Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-05-07 |
| 1992265409 | Rachel Stuart | Occupational Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987824 | Kevin Dante' Houston | Occupational Therapy Assistant | 1725 Tw Alexander Dr Unit 603, Durham, NC 27703-7938 | 2019-05-17 |
| 1144612136 | Richard Mascardi | Occupational Therapy Assistant | 205 Emeral Pond Lane, Durham, NC 27705-6051 | 2015-02-27 |
| 1568729630 | Lori C Mitchell | Occupational Therapy Assistant | 1802 Crystal Creek Dr, Durham, NC 27712-2482 | 2012-04-13 |
| 1003060187 | Erin Tanisha Hughes | Occupational Therapy Assistant | 615 Ashburn Ln, Durham, NC 27703-9618 | 2008-11-16 |
| 1679772826 | Karen T Johnson | Occupational Therapy Assistant | 3000 Erwin Road, Durham, NC 27710-4934 | 2007-07-17 |
| 1962454496 | Sarah D Folsom | Occupational Therapy Assistant | 22 Arrowwood Ct, Durham, NC 27712-8966 | 2006-05-16 |
| 1871128702 | Aronya Kay Curtis | Occupational Therapy Assistant | 3420 Holloway St, Durham, NC 27703-3522 | 2020-03-11 |
| 1831722537 | Kelsie Rae Leffue | Occupational Therapy Assistant | 2701 Pickett Rd, Durham, NC 27705-5688 | 2020-02-20 |
| 1750914032 | Erin Michelle Skinner | Occupational Therapy Assistant | 3420 Holloway St, Durham, NC 27703-3522 | 2020-02-14 |
| 1265080840 | Michael K Boyd | Occupational Therapy Assistant | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2019-08-28 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on KIMBERLY WALTERS BEAVER.
| 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.