MR. KRISTOPHER EDWARD WILSON (NPI# 1578739975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578739975 |
| Entity Type | Individual |
| Full Name | MR. KRISTOPHER EDWARD WILSON |
| Credential | MOT |
| Practice Address |
1675 Eagle Harbor Pkwy Suite B Orange Park FL 32003-4802 |
| Practice Telephone | 9046370148 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
| 1891210787 | Kristopher Wilson | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2017-08-11 |
| 1649431537 | Kristopher Charles Wilson | Military Health Care Provider | 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2008-06-23 |
| Street Address |
1675 EAGLE HARBOR PKWY SUITE B |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174048631 | Dawn Carwile | Physical Therapist | 1675 Eagle Harbor Pkwy, Orange Park, FL 32003-4802 | 2017-08-07 |
| 1023485141 | Crystle Taiyo Kearley | Physical Therapist | 1675 Eagle Harbor Pkwy, Orange Park, FL 32003-4802 | 2015-08-24 |
| 1518131648 | Kathleen Mary Koenig | Speech-Language Pathologist | 1675 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4802 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1760925325 | Denise Draper | Occupational Therapist | 350 Corporate Way, 250, Orange Park, FL 32073-2874 | 2016-11-29 |
| 1811313083 | Derian Anderson | Occupational Therapist | 2325 Torbay Dr, Orange Park, FL 32073-4278 | 2014-03-12 |
| 1689915308 | Colette Y Freda | Occupational Therapist | 3680 Middlebrook Dr, Orange Park, FL 32065-5543 | 2013-03-05 |
| 1841560133 | Nicole Hallick | Occupational Therapist | 2673 Admirals Walk Dr. E, Orange Park, FL 32073 | 2012-01-04 |
| 1124208145 | Cassie Grant | Occupational Therapist | 261 Eventide Dr, Orange Park, FL 32003-8187 | 2007-11-07 |
| 1861690885 | Jacqueline Jean Conroy | Occupational Therapist | 1835 Commodore Point Dr, Orange Park, FL 32003-7206 | 2007-07-11 |
| 1366588006 | Joan Theresa Warren | Occupational Therapist | 1232 Harbour Town Dr, Orange Park, FL 32065-2562 | 2007-01-29 |
| 1548892771 | Zachary Perry | Occupational Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2020-02-05 |
| 1942777057 | Janet Wilbanks | Occupational Therapist | 155 Blanding Blvd, Orange Park, FL 32073-2630 | 2018-10-26 |
| 1457831869 | Victoria Andrea Salud | Occupational Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2018-08-15 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
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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.