KIMBERLY BLACK


Address: 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033
Phone: 7068667700

KIMBERLY BLACK (NPI# 1326415043) 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) 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

Taxonomy

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

Other Providers KIMBERLY BLACK

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

Office Location

Street Address 2403 BATTLEFIELD PKWY
City FORT OGLETHORPE
State GA
Zip Code 30742-4033

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FORT OGLETHORPE
Zip Code 30742

Improve Information

Please comment or provide details below to improve the information on KIMBERLY BLACK.

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.

Trending Searches