MS. JENNIFER L WILD (NPI# 1396867750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396867750 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER L WILD |
| Credential | OTR |
| Practice Address |
8651 Sw Cruden Bay Ct Stuart FL 34997-4206 |
| Practice Telephone | 7722609499 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT8477 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760853691 | Jennifer Wild | Counselor | 15 Hilltop Dr, Canton, CT 06019-2138 | 2015-10-19 |
| 1588953582 | Jennifer Marie Wild | Pediatrics | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2011-03-31 |
| 1437305604 | Jennifer A Wild | Audiologist | 200 Lothrop St, Eei, Suite 215, Pittsburgh, PA 15213-2536 | 2008-08-07 |
| 1629051628 | Jennifer Wild | Family Medicine | 3931 E Camelback Rd, Phoenix, AZ 85018-2609 | 2005-11-22 |
| Street Address |
8651 SW CRUDEN BAY CT |
| City | STUART |
| State | FL |
| Zip Code | 34997-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467574723 | Kidpro Therapies, Inc | Occupational Therapist | 8651 Sw Cruden Bay Ct, Stuart, FL 34997-4206 | 2007-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1154962082 | Kim M Smith | Occupational Therapist | 611 Sw Federal Hwy Ste C, Stuart, FL 34994-2925 | 2019-10-02 |
| 1457904617 | Cameron Lamar Rolle | Occupational Therapist | 2110 Se Madison St, Stuart, FL 34997-5641 | 2019-07-17 |
| 1053848747 | Kara Hughes | Occupational Therapist | 604 Clark House Farm Rd, Stuart, VA 24171-4548 | 2017-05-12 |
| 1205273935 | Jessica Carlucci | Occupational Therapist | 2380 Nw Pine Lake Dr, Stuart, FL 34994-9246 | 2013-06-04 |
| 1699089763 | Roberta Jean Bressler | Occupational Therapist | 2996 Se Fairway W, Stuart, FL 34997-6022 | 2010-08-01 |
| 1154634053 | Stephanie Maria Louisa Rodriguez | Occupational Therapist | 2512 Sw Regency Rd, Stuart, FL 34997-1222 | 2010-07-20 |
| 1427380963 | Monica Gruenewald | Occupational Therapist | 5617 Se Collins Ave, Stuart, FL 34997-8063 | 2010-02-09 |
| 1538306055 | Maria R Lugo | Occupational Therapist | 2692 S.w. Windship Way, Stuart, FL 34997 | 2009-01-21 |
| 1477790277 | Stacie M Desjardins | Occupational Therapist | 1050 Se Monterey Rd Ste 304, Stuart, FL 34994-4512 | 2009-01-15 |
| Find all providers in STUART | ||||
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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.