KIMBERLY BRAY (NPI# 1720609100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720609100 |
| Entity Type | Individual |
| Full Name | KIMBERLY BRAY |
| Other Name | KIMBERLY ANNE TAYLOR |
| Credential | OT |
| Practice Address |
534 Owl Creek Dr Powder Springs GA 30127-6285 |
| Practice Telephone | 7703614124 |
| Practice Fax Number | 6782905587 |
| Mailing Telephone | 7703614124 |
| Mailing Fax Number | 6782905587 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
007188 | GA | Allopathic & Osteopathic Physicians |
| Y | 225X00000X | Occupational Therapist | 007638 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073630950 | Kimberly Goergiann Bray | Optometrist | 3801 S Us Highway 41 Ste A-1, Terre Haute, IN 47802-4107 | 2007-03-23 |
| 1750854246 | Kimberly Sue Bray | Physical Therapist | 278 Dry Valley Rd, Cookeville, TN 38506-5461 | 2019-01-07 |
| 1104061456 | Kimberly M Bray | Licensed Practical Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2008-12-15 |
| 1699929547 | Kimberly Ann Bray | Behavioral Analyst | 2075 Meadowlane Ave, West Melbourne, FL 32904-4951 | 2008-11-05 |
| Street Address |
534 OWL CREEK DR |
| City | POWDER SPRINGS |
| State | GA |
| Zip Code | 30127-6285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487834198 | Lydia Palmer | Physical Therapist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2007-11-09 |
| 1952948812 | Suzanne Byers | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-12-10 |
| 1285285718 | Kristen Nichols | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-09-25 |
| 1639729585 | Chloe Edwards | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-09-12 |
| 1821353129 | Nicole Bartman Hutchison | Physical Therapist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2012-07-12 |
| 1538437819 | Jamie Ranieri | Physical Therapist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2011-12-01 |
| 1154602191 | Taylor Harris | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2011-09-05 |
| 1609010081 | Melanie Hicks | Physical Therapist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2009-04-29 |
| 1689817850 | Mobility Physical Therapy | Physical Therapist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2009-04-16 |
| 1295989978 | Stephanie Pretti | Occupational Therapist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2008-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580935 | Judette Barthelemy | Nurse Practitioner | 5280 Jones Reserve Walk, Powder Springs, GA 30127 | 2018-09-06 |
| 1174049837 | Patricia Anderson | Home Health Aide | 4089 Sweetsprings Terrace Southwest, Powder Springs, GA 30127 | 2017-08-15 |
| 1972028777 | Jonathan J Jones Jr. | Technician | 4089 Sweetsprings Terrace Sw, Powder Springs, GA 30127 | 2017-08-14 |
| 1124575279 | Thomas Jones | Private Vehicle | 3271 Barnwell Trce, Powder Springs, GA 30127 | 2016-09-07 |
| 1194184598 | Francesca Momplaisir | Chiropractor | 4851 Saddlerun Ln, Powder Springs, GA 30127 | 2016-02-15 |
| 1639535073 | Yonide Lareche | Nurse Practitioner | 184 Windriver Trik, Powderspring, GA 30127 | 2016-01-14 |
| 1740607035 | Health Star Home Health Care LLC | Home Health | 2148 Chaseford Ln, Powder Springs, GA 30127 | 2014-03-25 |
| 1073850855 | Charles Cordaro | Pharmacist | 2000 East West Connector, Health Services Center, 1st Floor - Pharmacy, Austell, GA 30127 | 2013-01-14 |
| 1669748539 | Scott Gynecology & Pelvic Surgery, P.C. | Obstetrics & Gynecology | 5041 Dallas Highway, Building 1, Suite G, Powder Springs, GA 30127 | 2012-03-26 |
| 1265706576 | Danielle Olivier Mental Health Services | Community/Behavioral Health | 3468 Hollow Stream Trail, Powder Prings, GA 30127 | 2012-03-05 |
| Find all providers in zip 30127 | ||||
| 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 |
|---|---|---|---|---|
| 1003390295 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1050 Richard D Sailors Pkwy Ste 1100, Powder Springs, GA 30127-5232 | 2018-09-24 |
| 1639531940 | Margaret Dondo | Occupational Therapist | 3916 Doe Run Dr, Powder Springs, GA 30127-3528 | 2016-03-25 |
| 1386707271 | Timothy R Lupien | Occupational Therapist | 5041 Dallas Hwy Bldg 1c, Powder Springs, GA 30127-6459 | 2006-12-19 |
| 1407920093 | Susan Gail Vander Wyk | Occupational Therapist | 638 Goldenwood Ct, Powder Springs, GA 30127-6406 | 2006-11-17 |
| 1619059888 | Maretta Georgetta Mincey | Occupational Therapist | 2735 Lost Lakes Drive, Powder Springs, GA 30127 | 2006-10-19 |
| 1033329883 | Giesella Lydia May | Occupational Therapist | 3460 Powder Springs Rd, Powder Springs, GA 30127-2322 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011849 | Edc Home Modifications LLC | Occupational Therapist | 2674 Flair Knoll Dr Ne, Atlanta, GA 30345-1318 | 2020-10-22 |
| 1952900912 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 113 Poplar Springs Rd, Ringgold, GA 30736-2808 | 2020-10-21 |
| 1023617305 | Evaline J Trevias | Occupational Therapist | 125 Appleby Dr, Athens, GA 30605-1748 | 2020-10-19 |
| 1447858105 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 5575 New Northside Dr Ste 100, Sandy Springs, GA 30339-5334 | 2020-10-15 |
| 1811595820 | Karen Hefter | Occupational Therapist | 105 Shirewood Park, Peachtree City, GA 30269-1160 | 2020-10-12 |
| 1700493350 | Kristina Rae Molina-croes | Occupational Therapist | 5822 Barkley Ln, Hahira, GA 31632-3025 | 2020-09-28 |
| 1497362107 | Robin T Underwood | Occupational Therapist | 2335 Briarleigh Way, Dunwoody, GA 30338-7005 | 2020-09-26 |
| 1861008880 | India Shae Hawk | Occupational Therapist | 616 Millstone Dr, Evans, GA 30809-5173 | 2020-09-16 |
| 1548874985 | Dana Tindell | Occupational Therapist | 7792 Coffee Rd, Boston, GA 31626-3945 | 2020-09-02 |
| 1982217964 | Vertex Therapy Services | Occupational Therapist | 264 19th St Nw Unit 2321, Atlanta, GA 30363-1150 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | POWDER SPRINGS |
| Zip Code | 30127 |
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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.