KIMI MARIE KELLY (NPI# 1346428414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346428414 |
| Entity Type | Individual |
| Full Name | KIMI MARIE KELLY |
| Other Name | KIMI MARIE HANSON |
| Credential | OT |
| Practice Address |
2661 S Broadway Green Bay WI 54304-5305 |
| Mailing Address |
2757 Nicolet Dr Green Bay WI 54311-7219 |
| Practice Telephone | 9205925262 |
| Mailing Telephone | 9203911565 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 383026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2661 S BROADWAY |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1558604462 | Alyssa C Cormier | Occupational Therapist | 607 Edelweiss Dr, Green Bay, Green Bay, WI 54302-5117 | 2013-03-28 |
| 1558683136 | Angela Bartels | Occupational Therapist | 2801 S. Webster Ave, Green Bay, WI 54301 | 2010-02-23 |
| 1790917664 | Kristen Leigh Kosman | Occupational Therapist | 1328 Reed Street, Green Bay, WI 54303 | 2009-08-11 |
| 1427289032 | Kristin Marie Delforge | Occupational Therapist | 3137 Ridgeview Ter, Green Bay, WI 54301-1516 | 2009-07-30 |
| 1003072497 | Joanne Mary Wirtz | Occupational Therapist | 1275 S Robinson Ave, Green Bay, WI 54311-5537 | 2008-08-05 |
| 1528235900 | Mary Kathleen Maloney | Occupational Therapist | 1030 S Monroe Ave, Green Bay, WI 54301-3206 | 2008-05-14 |
| 1629240353 | Patricia Meister | Occupational Therapist | 600 S. Webster Ave, Green Bay, WI 54301-3503 | 2008-04-02 |
| 1609069608 | Linda Marie Socker | Occupational Therapist | 812 S Fisk Street, Suite 109, Green Bay, WI 54304 | 2007-08-22 |
| 1326260746 | Molly Ann Huben | Occupational Therapist | 215 North Webster, Green Bay, WI 54301 | 2007-05-03 |
| 1861559767 | Luz Minelba Acevedo-castro | Occupational Therapist | 734 James St, Green Bay, WI 54303-3546 | 2007-01-02 |
| Find all providers in GREEN BAY | ||||
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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.