MRS. PATRICIA M. VAN DEN KIEBOOM


Address: 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217
Phone: 4143518850

MRS. PATRICIA M. VAN DEN KIEBOOM (NPI# 1417934308) 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) 1417934308
Entity Type Individual
Full Name MRS. PATRICIA M. VAN DEN KIEBOOM
Credential OTR
Practice Address 6700 N. Port Washington Rd.
C/o St. Francis Children's Center
Glendale
WI 53217
Practice Telephone 4143518850
Practice Fax Number 4143518846
Mailing Telephone 4143518850
Mailing Fax Number 4143518846
Enumeration Date 2005-12-30
Last Update Date 2010-10-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 3263-026 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 40862700 05

Office Location

Street Address 6700 N. PORT WASHINGTON RD.
C/O ST. FRANCIS CHILDREN'S CENTER
City GLENDALE
State WI
Zip Code 53217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245408715 Julia Mattek Speech-Language Pathologist 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217-3919 2008-02-18
1497946719 Kellie Marie Lanza Speech-Language Pathologist 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217-3919 2007-08-05
1043334535 Elizabeth Laura Cloyd Speech-Language Pathologist 6700 N. Port Washington Rd., St. Francis Children's Center, Glendale, WI 53217-3919 2007-03-19
1912943796 Nicole C. Bailke Physical Therapist 6700 N. Port Washington Rd., St. Francis Children's Center, Glendale, WI 53217-3919 2006-06-21
1912940511 Anne B. Scannell Speech-Language Pathologist 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217-3919 2006-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922632587 Jasmine Dockery Pharmacist 5400 N Port Washington, Glendale, WI 53217 2020-02-23
1174017339 North Lakes Nursing Home Health Care Agency LLC Home Health 225 E Fairmount Ave, Milwaukee, WI 53217 2018-06-20
1083140289 Miriah Ann King, Ms, Lpc Counselor 7805 North Boyd Way, Fox Point, WI 53217 2017-05-08
1245783067 Lakesha L Jones Counselor 5235 N Ironwood Rd, Glendale, WI 53217 2016-07-28
1750783312 Ibrahim S Abouzeid Specialist/Technologist, Other 333 W Brown Deer Road, #240, Milwaukee, WI 53217 2014-09-25
1255733598 Victoria Gorodetsky Pharmacist 229 W Indian Creek Ct, Milwaukee, WI 53217 2014-09-18
1174800049 John Herman Esser Internal Medicine 1050 W Acacia Rd, Milwaukee, WI 53217 2011-11-07
1710298351 Leann M Harman Physical Therapist 5333 N Port Washington Rd Ste B, Glendale, WI 53217 2010-06-29
1306012455 Emily Marie Gallagher Speech-Language Pathologist 6700 N. Port Washington Road, Milwaukee, WI 53217 2008-05-07
1164625455 Mary Catherine Enderlin Psychologist 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 2007-06-06
Find all providers in zip 53217

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689272858 Zelda Luu Occupational Therapist 132 N Artsakh Ave, Glendale, CA 91206-4094 2020-10-11
1467063933 Naomi Ann Engels Occupational Therapist 6315 W Port Au Prince Ln, Glendale, AZ 85306-3217 2020-08-10
1093343121 Edgar Gallego Occupational Therapist 7139 68th St # 2, Glendale, NY 11385-7061 2020-04-01
1609409754 Alexandra Nicole Cammarata Occupational Therapist 5757 W Thunderbird Rd Ste E465, Glendale, AZ 85306-4650 2020-02-18
1295378719 Anna Britta Lombard Occupational Therapist 1304 Stanley Ave, Glendale, CA 91206-4638 2019-10-28
1982170932 Rhonda Janessa Harrell Occupational Therapist 4521 W Paradise Ln, Glendale, AZ 85306-2729 2018-10-17
1225525587 Melissa Jazmines-broersma Occupational Therapist 1714 Arlington Ave, Glendale, CA 91208-1523 2018-04-21
1386164747 Samantha Rothman Occupational Therapist 18001 N 79th Ave Ste A3, Glendale, AZ 85308-8389 2017-06-26
1518496835 Steven Vrchota Occupational Therapist 4550 E Cherry Creek South Dr Apt 710, Glendale, CO 80246-1540 2017-06-08
1295263671 Aisha Johari Johnson Occupational Therapist 18001 N 79th Ave Ste 3, Glendale, AZ 85308-8388 2017-05-30
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Competitor

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City GLENDALE
Zip Code 53217

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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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