MRS. KIMBERLY RENAE WILSON


Address: 208 Country Club Dr, Benton, LA 71006-9463
Phone: 3185079909

MRS. KIMBERLY RENAE WILSON (NPI# 1508159229) 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) 1508159229
Entity Type Individual
Full Name MRS. KIMBERLY RENAE WILSON
Credential OTR
Practice Address 208 Country Club Dr
Benton
LA 71006-9463
Practice Telephone 3185079909
Mailing Telephone 3185079909
Enumeration Date 2011-05-27
Last Update Date 2018-08-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics 		3055 CO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5819 Adamants Dr, Colorado Springs, CO 809242021 7196415993

Other Providers KIMBERLY WILSON

NPI Name Taxonomy Address Enumeration
1407465420 Kimberly Frances Wilson Doula 6911 Deorsam Loop, Killeen, TX 76542-6377 2020-07-26
1689132250 Kimberly Jo Wilson Registered Nurse 3765 King Rd, Saginaw, MI 48601-7146 2019-03-03
1265905038 Kimberly Ann Wilson Speech-Language Pathologist 658 Lions Gate Ln, Odenton, MD 21113-1490 2019-01-04
1114462793 Kimberly Wilson Social Worker 1820 T St Nw Apt 2, Washington, DC 20009-7144 2017-01-05
1841749439 Kimberly Ann Wilson Nurse Practitioner 4333 S 172nd East Ave, Tulsa, OK 74134-7281 2016-09-24
1700246709 Kimberly Moss Wilson Counselor 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 2016-03-03
1427451939 Kimberly Wilson Occupational Therapist 6608 Covington Cv, Canfield, OH 44406-8161 2014-09-29
1083036701 Kimberly Wilson Social Worker 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 2014-01-15
1801220579 Kimberly Patrice Wilson Counselor 205 North Liberty St, Centreville, MD 21617 2013-08-29
1164795704 Kimberly Renee Wilson Speech-Language Pathologist 107 S Keswick Ave, Glenside, PA 19038-4509 2012-02-13

Office Location

Street Address 208 COUNTRY CLUB DR
City BENTON
State LA
Zip Code 71006-9463

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450517 Just Health Clinic/Center 7076 La-3, Benton, LA 71006 2020-06-02
1982819678 Robert Carroll Denmon Pharmacist 5604 Hwy 3, Freds Pharmacy # 1534, Benton, LA 71006 2007-05-14
1326174202 David W Loftin Pharmacist 5604 Benton Rd, Benton, LA 71006 2007-02-26
1720163587 Wayne Holden Marionneaux Dentist 192 Burt Blvd, Bentone, LA 71006 2006-10-27
1558478925 Freds Stores of Tennessee Inc Pharmacy 5604 Hwy 3, Benton, LA 71006 2006-08-23
1861404683 Rolling Rehab LLC Physical Therapist 115 Hunt Rd, Benton, LA 71006-3469 2006-08-12
1932327608 Shanna D. Johnson Physical Therapist 115 Hunt Rd, Benton, LA 71006-3469 2007-04-20
1194134452 Margaret B Rutledge Social Worker 2018 Pine Ridge Way, Benton, LA 71006-3488 2014-08-11
1942373410 Brookshire Grocery Company Pharmacy 6280 Highway 3, Attention Pharmacy Dept, Benton, LA 71006-3492 2006-11-15
1669854253 Dao B Kha Pharmacist 6280 Highway 3, Benton, LA 71006-3492 2015-06-19
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

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:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295946739 Lea Ann Hopper Occupational Therapist 2031 Blue Ribbon Cir., Benton, AR 72019 2007-05-25
1144373671 Paula Kathryn Keys Occupational Therapist 3214 Winchester Dr, Benton, AR 72015 2007-01-19
1003969528 Kristi Matthews Occupational Therapist 3214 Winchester Dr., Benton, AR 72015 2007-01-19
1821280694 Amanda Lee Shanks Occupational Therapist 17706 I-30 Ste 3, Benton, AR 72019-2930 2007-08-15
1588719280 Kimberly Lynn Hedden Occupational Therapist 3214 Winchester Dr, Benton, AR 72015 2007-01-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881233039 Ansley Fussell Occupational Therapist 1033 Wilton Pl, Shreveport, LA 71107-2817 2020-01-04
1285272344 All 4 Kids Occupational Therapy Occupational Therapist 6872 Canal Blvd, New Orleans, LA 70124-3304 2019-12-19
1770040636 Claesi Mccrary Occupational Therapist 1155 Cypress Manor Ct, Baton Rouge, LA 70806-7764 2019-02-27
1043788706 Kimberly Johnson Occupational Therapist 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 2018-11-10
1487132767 Elizabeth Ann Hosse Occupational Therapist 10102 Springvalley Ave, Baton Rouge, LA 70810-7713 2018-07-30
1285172494 Therapeutic Learning Center Occupational Therapist 3329 Metairie Rd, Metairie, LA 70001-5215 2017-02-08
1912442955 Megan Holloway Occupational Therapist 3904 Berot St, Metairie, LA 70002-3006 2016-12-29
1801256474 Brandi Hinton Occupational Therapist 201 Holiday Blvd Ste 315, Covington, LA 70433-6115 2016-02-25
1356707715 Megan Mccarter Despot Occupational Therapist 218 Lake Penchant Ct, Houma, LA 70360-8323 2016-01-14
1669868519 Spectrum Therapy Solutions Occupational Therapist 40235 Highway 42 Ste B, Prairieville, LA 70769-5244 2015-04-07
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City BENTON
Zip Code 71006

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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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