KIMBERLY BLACK (NPI# 1326415043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326415043 |
Entity Type | Individual |
Full Name | KIMBERLY BLACK |
Credential | COTA |
Practice Address |
2403 Battlefield Pkwy Fort Oglethorpe GA 30742-4033 |
Mailing Address |
71 Clark Rd Tunnel Hill GA 30755-6800 |
Practice Telephone | 7068667700 |
Mailing Telephone | 4234636531 |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | 2530 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 224Z00000X | Occupational Therapy Assistant | OTA001922 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063997237 | Kimberly Rochelle Black | Counselor | 31 E Main Ave, Taylorsville, NC 28681-2540 | 2018-10-03 |
1962769919 | Kimberly Black | Speech-Language Pathologist | 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 | 2012-04-16 |
1619484839 | Kimberly Black | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-01-09 |
1174042634 | Kimberly Sue Black | Registered Nurse | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2017-09-15 |
1255878989 | Kimberly Lucille Black | Nurse Practitioner | 411 3rd St, Monett, MO 65708-2008 | 2017-01-19 |
1821476235 | Kimberly Black | Marriage & Family Therapist | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2015-05-18 |
1043613318 | Kimberly Black | Hearing Instrument Specialist | 798 Downtowner Blvd, Ste A, Mobile, AL 36609-5424 | 2014-10-01 |
1518199728 | Kimberly G Black | Surgery | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2009-08-20 |
1558522342 | Kimberly Black | Physical Therapist | 212 W 3rd St Sw, Rome, GA 30165-2802 | 2008-06-24 |
Street Address |
2403 BATTLEFIELD PKWY |
City | FORT OGLETHORPE |
State | GA |
Zip Code | 30742-4033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740830827 | Shari Driscoll | Physical Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2019-09-19 |
1508414699 | Casey A Miller | Physical Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2019-08-31 |
1689130940 | Kelly Nicole Lunsford | Speech-Language Pathologist | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2019-02-12 |
1255822755 | Phillip Cody Freeman | Occupational Therapist | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2018-05-21 |
1679097216 | Erin Megan Harris | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-07-26 |
1134657307 | Angela Mcnabb | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-05-31 |
1275061723 | April Wash | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-05-30 |
1720515141 | Jennifer Knight Bird | Physical Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-05-16 |
1174057590 | Jessica Hall | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-04-12 |
1154861508 | Amy Roach | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-03-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194295972 | Essential Dental, Inc. | Clinic/Center | Essential Dental, Inc, 1188 Cross Street, Fort Oglethorpe, GA 30742 | 2018-12-05 |
1760993646 | Mary Lucinda Williams | Counselor | 2007 Old Lafayette Road, Ft. Oglethorpe, GA 30742 | 2017-10-18 |
1689120321 | Mary Elizabeth O'brien | Physical Therapist | 2403 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2016-09-01 |
1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
1720471469 | Fred Gilreath | Pharmacist | 3801 Tennessee Ave., Fort Oglethorpe, GA 30742 | 2015-03-05 |
1538559240 | Michael Dewayne Craig | Physician Assistant | 3063 Battlefield Pkwy, Fort Oglethorpe, GA 30742 | 2015-02-02 |
1003232968 | Carla Myers | Counselor | 1875 Fant Drive, Lookout Mountain Community Services, Ft. Oglethorpe, GA 30742 | 2014-03-14 |
1386823680 | Lisa L. Bethea | Anesthesiology | 504 N. Thomas Rd, Suite 200, Hutcheson Medical Center, Fort Oglethorpe, GA 30742 | 2007-11-02 |
1487857447 | James Andrew Scolet | Physical Therapy Assistant | Nhc Healthcare, 2203 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2007-06-07 |
1548338296 | Amy C Williams | Occupational Therapist | 118 Herron Street, Ft Oglethorpe, GA 30742 | 2006-12-01 |
Find all providers in zip 30742 |
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 |
---|---|---|---|---|
1760966329 | Tammy Davis | Occupational Therapy Assistant | 14 Fort Town Dr, Fort Oglethorpe, GA 30742-4051 | 2018-09-19 |
1326143918 | Regina Michelle Durham | Occupational Therapy Assistant | 1067 Battlefield Pkwy, Fort Oglethorpe, GA 30742-3947 | 2006-09-14 |
1528627890 | Johnna Michele Higdon | Occupational Therapy Assistant | 110 Park City Rd, Fort Oglethorpe, GA 30736 | 2019-06-11 |
1679097216 | Erin Megan Harris | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-07-26 |
1134657307 | Angela Mcnabb | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-05-31 |
1275061723 | April Wash | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-05-30 |
1174057590 | Jessica Hall | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-04-12 |
1154861508 | Amy Roach | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2017-03-05 |
1457703381 | Heather Nicole Salvador | Occupational Therapy Assistant | 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 | 2016-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
1356998769 | Jaclyn Renee Mason | Occupational Therapy Assistant | 609 Lake Vista Dr, Jefferson, GA 30549-4606 | 2019-08-20 |
1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
Find all providers with the same taxonomy |
City | FORT OGLETHORPE |
Zip Code | 30742 |
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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.