MR. KENNETH WADE WILSON (NPI# 1205980141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205980141 |
| Entity Type | Individual |
| Full Name | MR. KENNETH WADE WILSON |
| Credential | COTA-L |
| Practice Address |
711 Avignon Dr Ridgeland MS 39157-5120 |
| Mailing Address |
37 Northwood Dr Petal MS 39465-9537 |
| Practice Telephone | 6016056777 |
| Practice Fax Number | 6016058869 |
| Mailing Telephone | 6015846725 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | TA1911 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563735 | Kenneth Lamar Wilson | Counselor | 1155 Westmoreland Dr Ste 114, El Paso, TX 79925-5623 | 2018-10-06 |
| 1336506641 | Kenneth Jerome Wilson II | Counselor | 5 Lavender Ln, Springfield, MA 01129-1708 | 2016-01-19 |
| 1780860692 | Kenneth James Wilson | Counselor | 1323 Watts St, Durham, NC 27701-1134 | 2008-01-10 |
| 1629260344 | Kenneth D Wilson | Counselor | 915 Nipsic Ave, Bremerton, WA 98310-4837 | 2007-08-16 |
| 1396854915 | Kenneth Monroe Wilson | Physical Therapist | 1355 Maple Street, Farmington, MO 63640 | 2006-08-29 |
| 1508873373 | Kenneth Robert Wilson | Dentist | 13764 E Quincy Ave, Aurora, CO 80015-1129 | 2006-08-02 |
| 1366400707 | Kenneth Spencer Wilson | Psychologist | 501 S Johnstone Ave, Bartlesville, OK 74003-6609 | 2006-05-03 |
| 1205896586 | Kenneth Hugh Wilson | Psychologist | 3333c Dayton Xenia Road, Beavercreek, OH 45432-2764 | 2006-03-23 |
| 1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| Street Address |
711 AVIGNON DR |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609930965 | Midsouth Rehab Services Inc. | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2006-12-21 |
| 1417481037 | Deborah Cunningham | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1689108201 | Amanda Mix | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1174057798 | Jennifer Hamilton | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1528592219 | Candice Fairley | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-19 |
| 1528592300 | Jeffery Ross | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-18 |
| 1154853653 | Dietrich Rapp | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-03 |
| 1619418399 | Taylor Weber Brandon | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157 | 2017-03-15 |
| 1861931883 | Teresa Wright | Occupational Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-02-23 |
| 1881133809 | Rohit Soni | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| 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 |
|---|---|---|---|---|
| 1649495086 | Stephanie Maggio King | Occupational Therapy Assistant | 711 Avigon Dr, Ridgeland, MS 39157 | 2007-04-13 |
| 1609930965 | Midsouth Rehab Services Inc. | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2006-12-21 |
| 1417481037 | Deborah Cunningham | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1174057798 | Jennifer Hamilton | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1528592219 | Candice Fairley | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-19 |
| 1619418399 | Taylor Weber Brandon | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157 | 2017-03-15 |
| 1710286695 | Heather Marie Pierce | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2011-03-18 |
| 1295037273 | Jerrie Renae Cohill | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-24 |
| 1457653453 | Hendon Jamar Barber | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-23 |
| 1174825178 | Tanya Marie Crowe | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-23 |
| Find all providers in RIDGELAND | ||||
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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.