ANN MARIE WILDMAN


Address: 600 N Robbins Rd, Boise, ID 83702-4565
Phone: 2083853232

ANN MARIE WILDMAN (NPI# 1699844993) 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) 1699844993
Entity Type Individual
Full Name ANN MARIE WILDMAN
Other Name ANN MARIE JOHNSON
Credential CTRS
Practice Address 600 N Robbins Rd
Boise
ID 83702-4565
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2083853232
Practice Fax Number 2084894052
Mailing Telephone (208) 381-2222
Mailing Fax Number 2083672674
Enumeration Date 2006-11-08
Last Update Date 2017-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist NCTRS43873 Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225800000X Recreation Therapist CTRS43873 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 600 N ROBBINS RD
City BOISE
State ID
Zip Code 83702-4565

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508829516 Wendy Rouse Rohin Physical Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2006-04-10
1568082097 Angela Colson Recreation Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2020-04-24
1023658010 Hannah Stevenson Physical Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2020-01-08
1386290229 Brandi Gustafson Physical Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2019-08-15
1104488816 Michael David Black Occupational Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2019-07-02
1164084950 Stacey Aileen Sigmond Occupational Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2019-07-02
1275193666 Erica Watkins Occupational Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2019-06-18
1558856526 Jennifer Forberg Dietitian, Registered 600 N Robbins Rd, Boise, ID 83702-4565 2018-06-22
1083105704 Katherine Elizabeth Bostwick Physical Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2018-05-29
1679087415 Megan Doyle Occupational Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2017-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
Find all providers in zip 83702

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952902389 Christine Alice Walsh Recreation Therapist 500 W Fort St, Boise, ID 83702-4501 2020-11-03
1568082097 Angela Colson Recreation Therapist 600 N Robbins Rd, Boise, ID 83702-4565 2020-04-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952535759 Jodi Nelson Deerfield Recreation Therapist 2305 N Marburg Pl, Meridian, ID 83646-3818 2009-05-07
1629036918 Brionn M Tripp Recreation Therapist 815 N Frederick St, Post Falls, ID 83854-8667 2006-05-03

Competitor

Search similar providers

City BOISE
Zip Code 83702

Improve Information

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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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