KIRSTEN CORINNE WILSON (NPI# 1154533909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154533909 |
| Entity Type | Individual |
| Full Name | KIRSTEN CORINNE WILSON |
| Credential | COTA |
| Practice Address |
717 E Alfred St Weyauwega WI 54983-9024 |
| Mailing Address |
8789 Edgewater Rdg Omro WI 54963-9800 |
| Practice Telephone | 9208673121 |
| Mailing Telephone | 9206856121 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 991-027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40760700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659683621 | Kirsten Wilson | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2010-07-07 |
| Street Address |
717 E ALFRED ST |
| City | WEYAUWEGA |
| State | WI |
| Zip Code | 54983-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760554281 | Extendicare Homes, Inc. | Skilled Nursing Facility | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2006-11-14 |
| 1316591555 | Julia Morgan Borrego | Physical Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2019-07-25 |
| 1679126098 | Haley Marie Diedrick | Speech-Language Pathologist | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2019-07-24 |
| 1851784334 | Crossroads Care Center of Weyauwega, LLC | Skilled Nursing Facility | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2015-03-09 |
| 1962654301 | Kevin Richard Johnson | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-10-16 |
| 1922255629 | Tammi Ann Schellin | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-08-25 |
| 1447407341 | Angela Jean Moderson | Physical Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-08-21 |
| 1457539132 | Hope Marie Oshefsky | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-02-05 |
| 1316151269 | Deann Marie Paprocki | Occupational Therapist | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2007-05-10 |
| 1770797326 | Jana Marie Kizewski | Physical Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2007-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962636795 | Janine Rene Wurzer | Registered Nurse | 309 E Ann St, Weyauwega, WI 54983 | 2009-05-07 |
| 1245445766 | Cynthia May Wendt | Physical Therapist | 717 E. Alfred St. Weyauwaga, 717 E. Alfred, Weyauwega, WI 54983 | 2007-05-10 |
| 1922151687 | Fred W Raschke | Chiropractor | N1992 County Road F, Weyauwega, WI 54983-0736 | 2007-01-18 |
| 1750382537 | Raschke Chiropractic Center Sc | Chiropractor | N 1992 County Road F, Weyauwega, WI 54983-0736 | 2005-08-03 |
| 1316425317 | Sarah Elizabeth Zimmermann | Registered Nurse | 410 E Ann St, Weyauwega, WI 54983-8403 | 2018-08-01 |
| 1255510855 | Weyauwega-fremont School District | Local Education Agency (LEA) | 410 E Ann St, Weyauwega, WI 54983-8532 | 2007-10-31 |
| 1992737704 | Todd William Wild | Optometrist | 415 E Ann St, Weyauwega, WI 54983-8532 | 2006-07-06 |
| 1275536161 | William J. Twohig | Dentist | 417 E Ann St, Weyauwega, WI 54983-8532 | 2005-05-24 |
| 1376103572 | Dr. William J. Twohig Dds | Durable Medical Equipment & Medical Supplies | 417 E Ann St, Weyauwega, WI 54983-8532 | 2019-06-19 |
| 1326033580 | County of Waupaca | Skilled Nursing Facility | 912 Manor Dr, Weyauwega, WI 54983-8677 | 2005-09-14 |
| Find all providers in zip 54983 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962654301 | Kevin Richard Johnson | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-10-16 |
| 1922255629 | Tammi Ann Schellin | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-08-25 |
| 1457539132 | Hope Marie Oshefsky | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132201 | Melanie Richardson | Occupational Therapy Assistant | 1312 W Ann St, Kaukauna, WI 54130-3882 | 2020-10-21 |
| 1316546526 | Emma Lorn Klaboe-stephens | Occupational Therapy Assistant | 1425 N 12th Ave Apt 221, Wausau, WI 54401-2451 | 2020-10-19 |
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1720617129 | Holly Fales | Occupational Therapy Assistant | 677 East Street, Burlington, WI 53105-1639 | 2020-04-07 |
| 1316573520 | Kiana D Spanbauer | Occupational Therapy Assistant | 3321 Logan Dr Apt 7, Oshkosh, WI 54901-1178 | 2020-03-19 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1942851852 | Brittany Miller | Occupational Therapy Assistant | N35590 Weverstad Rd, Blair, WI 54616-8600 | 2019-09-23 |
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1073168019 | Kristen Koshalek | Occupational Therapy Assistant | 3541 Plover Rd # A, Wisconsin Rapids, WI 54494-2155 | 2019-08-06 |
| 1366004152 | Courtney Joy Langendorf | Occupational Therapy Assistant | W5528 N Shore Dr, New Lisbon, WI 53950-9034 | 2019-07-02 |
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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.