KIMBERLEY G CRADDOCK


Address: 770 Pine St, Macon, GA 31201-2173
Phone: 4786331040

KIMBERLEY G CRADDOCK (NPI# 1780009092) 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) 1780009092
Entity Type Individual
Full Name KIMBERLEY G CRADDOCK
Practice Address 770 Pine St
Macon
GA 31201-2173
Practice Telephone 4786331040
Mailing Telephone 4786331040
Enumeration Date 2014-02-24
Last Update Date 2014-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT000957 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 770 PINE ST
City MACON
State GA
Zip Code 31201-2173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720080443 Stephen Ashley Noller Internal Medicine 770 Pine St, Suite 480, Macon, GA 31201-2173 2005-08-12
1821440819 Southern Lung Specialists PC Internal Medicine 770 Pine St, Suite 560, Macon, GA 31201-7569 2016-07-01
1366796930 Village Podiatry Group, LLC Podiatrist 770 Pine St, Ste 300, Macon, GA 31201-2173 2012-11-05
1275888661 Hannah R Beauchamp Nurse Practitioner 770 Pine St, Ste 520, Macon, GA 31201-2173 2012-07-21
1427324615 Sushmita Nair Pediatrics 770 Pine St, Ste 520, Macon, GA 31201-2173 2012-04-01
1235423047 Burton D Goodwin Jr. Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2011-06-09
1831495696 Annie Lee Williams Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2011-01-26
1629371638 Cardiovascular Associates of Macon, PC Specialist 770 Pine St, Suite 480, Macon, GA 31201-2173 2010-12-13
1932429024 Dr Brown N Ekeledo LLC Surgery 770 Pine St, Suite 550, Macon, GA 31201-2173 2010-06-11
1982922365 Joshua Benjamin Cooper Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2010-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
Find all providers in zip 31201

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
1225505787 Rebekah Hollinshead Occupational Therapist Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 2018-11-01
1912497165 Heather Jo Carroll Occupational Therapist 5021 Mercer University Dr Ste D2, Macon, GA 31210-6228 2018-05-14
1073759619 Eulanda Lara Waller Occupational Therapist 315 Christina Ct, Macon, GA 31217-4528 2009-01-04
1609042795 Celecia Phillips Occupational Therapist 3482 Lancing Ct, Macon, GA 31217-6212 2008-05-07
1578775201 Hayes Therapy Corp Occupational Therapist 221 Hunters Hill Ct., Macon, GA 31210 2007-05-04
1083733794 Joseph Owoho Occupational Therapist 100 Mesquite Ct, Macon, GA 31220-8334 2007-03-27
1568517423 Lori Wheeler Mealor Occupational Therapist 1133 Oakcliff Rd, Macon, GA 31211-1329 2007-01-23
1770647562 Cynthia Bernadette Reese Occupational Therapist 221 Hunters Hill Ct, Macon, GA 31210-8647 2006-12-19
1477624161 Charles Edgar Averill Jr. Occupational Therapist 704a South Missouri, Macon, MO 63552 2006-11-13
1891737334 Megan S Sapp Occupational Therapist 3708 Northside Drive, Macon, GA 31210 2006-06-11
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Competitor

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City MACON
Zip Code 31201

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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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