MRS. KRISTIN MANNINA WILSON


Address: 5301 Creedmoor Rd, Raleigh, NC 27612-3822
Phone: 9196513803

MRS. KRISTIN MANNINA WILSON (NPI# 1346742343) 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) 1346742343
Entity Type Individual
Full Name MRS. KRISTIN MANNINA WILSON
Credential OTRL
Practice Address 5301 Creedmoor Rd
Raleigh
NC 27612-3822
Mailing Address 2029 Longwood Dr
Raleigh
NC 27612-2814
Practice Telephone 9196513803
Mailing Telephone 9192801436
Enumeration Date 2018-03-06
Last Update Date 2018-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 11976 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
515 N Michigan Ave, Saginaw, MI 486024316 9895832701

Other Providers KRISTIN WILSON

NPI Name Taxonomy Address Enumeration
1669037370 Kristin Wilson Licensed Practical Nurse 808 Bishop Ave, Hamilton, OH 45015-2110 2019-05-08
1295291979 Kristin Wilson Nurse Practitioner 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 2019-02-18
1922572353 Kristin Patricia Wilson Counselor 196c E Emmitt Ave, Waverly, OH 45690-1334 2019-01-18
1124240098 Kristin L Wilson Physician Assistant 115 Enon Springs Road East, Smyrna, TN 37167 2007-05-02
1679670848 Kristin A Wilson Counselor 710 S Old Middletown Rd, Media, PA 19063-5024 2006-09-20
1356857023 Kristin Jeanne Wilson Counselor 1610 Miller Park Way, West Milwaukee, WI 53214-3604 2017-12-18
1851747596 Kristin Nicole Wilson Nurse Practitioner 2011 4th St, La Grande, OR 97850-2511 2016-05-12
1932534112 Kristin Wilson Speech-Language Pathologist 1870 W Winchester Rd Ste 203, Libertyville, IL 60048-5360 2013-09-06
1275881690 Kristin Porritt Wilson Speech-Language Pathologist 8610 8th Ave Ne, Seattle, WA 98115-3004 2012-08-15
1164715579 Kristin Leigh Wilson Pediatrics 901 E 2nd St Ste 201, Reno, NV 89502 2011-05-17

Office Location

Street Address 5301 CREEDMOOR RD
City RALEIGH
State NC
Zip Code 27612-3822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386676724 Angel Ballentine Physical Therapist 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2006-07-07
1205492873 Jennifer Susan Lange Occupational Therapist 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2019-05-19
1154840411 Nicholas Vincent Pisano Physical Therapy Assistant 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2017-09-18
1689022873 Christine Marie Graham Occupational Therapist 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2016-05-27
1053792663 Christopher Roberts Physical Therapy Assistant 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2015-06-10
1083094767 Anne Iannucci Physical Therapy Assistant 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2015-06-08
1659789717 Julie Karg Occupational Therapist 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2014-07-31
1649609694 Leticia Delon Rose Occupational Therapist 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2013-11-09
1326307844 Stacey Reid Physical Therapist 5301 Creedmoor Rd, Raleigh, NC 27612-3822 2012-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538714068 George J Henderon Orthotist 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 2019-08-01
1902399223 Iain Knox Nathaniel Irwin Marriage & Family Therapist 7701 Alborz Dr, Raleigh, NC 27612 2018-06-12
1225525884 Patterns Behavioral Services North Carolina, Inc Assistant Behavior Analyst 3738 National Dr, Ste 110, Raleigh, NC 27612 2018-04-19
1053820720 The Art Counseling L.L.C. Psychologist 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 2017-09-26
1376052431 Amanda Steed Speech-Language Pathologist 5519 Hamstead Crossing, Raleigh, NC 27612 2017-09-21
1295250991 Neal H. Patel Dds Pllc Dentist 7211 Shellburne Dr, Raleigh, NC 27612 2017-08-03
1811426109 Marquita Randolph-breeden Behavior Technician 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 2017-06-08
1336518554 Travis Edward Williams Counselor 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 2015-09-17
1831587476 Harris Teeter LLC Pharmacy 2051 W Millbrook Road, Raleigh, NC 27612 2015-01-06
1780072975 Harris Teeter LLC Pharmacy 2051 W. Millbrook Road, Raleigh, NC 27612 2014-12-23
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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
1548873037 Christina Connors Occupational Therapist 10101 Ethridge Ct, Raleigh, NC 27615-1152 2020-08-25
1750907069 Shelby Leanna Caulk Occupational Therapist 1001 Hillsborough St Apt 204, Raleigh, NC 27603-1556 2020-06-23
1558991083 Kosmos LLC Occupational Therapist 12100 Peed Rd, Raleigh, NC 27614-9259 2020-01-23
1568018059 Pt Solutions of North Carolina LLC Occupational Therapist 10940 Raven Ridge Rd Ste 110, Raleigh, NC 27614-6611 2019-08-12
1063979300 Jaime Carlisle Fair Occupational Therapist 4834 Crockett Ct, Raleigh, NC 27606-6304 2019-02-22
1275008773 Cassietta Harris Occupational Therapist 2505 Birchford Ct, Raleigh, NC 27604-8416 2018-10-10
1710470596 Rachel Miller Hatchell Occupational Therapist 7401 Rolling Dale Ct, Raleigh, NC 27615-5811 2018-06-07
1518479963 Kristina Marie Carreira Occupational Therapist 3803 Computer Dr Ste 200, Raleigh, NC 27609-6525 2017-10-25
1629589197 Morgan Sawyer Occupational Therapist 319 Chapanoke Road Suite 101, Raleigh, NC 27699-2047 2017-10-23
1962952341 Maggie Sullivan Occupational Therapist 1324 Princess Anne Rd, Raleigh, NC 27607-4750 2016-10-10
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27612

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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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