KRISTEN BOOTH (NPI# 1558883330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558883330 |
| Entity Type | Individual |
| Full Name | KRISTEN BOOTH |
| Practice Address |
1016 Lakeshore Dr Rice Lake WI 54868-1225 |
| Practice Telephone | 7152349101 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6079-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679700033 | Kristen Speak Booth | Occupational Therapist | 200 2ndstreet, Mountain Home, TN 37684 | 2009-06-12 |
| 1295128932 | Kristen Booth | Behavioral Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2015-03-05 |
| Street Address |
1016 LAKESHORE DR |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174539951 | Amanda Wilmot | Occupational Therapy Assistant | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2006-07-31 |
| 1922618768 | Rice Lake Care Center, LLC | Skilled Nursing Facility | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2020-08-06 |
| 1063962454 | Rice Lake Operations LLC | Skilled Nursing Facility | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2016-10-10 |
| 1043683857 | Brooke N Kucko | Speech-Language Pathologist | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2015-11-03 |
| 1790176816 | Rice Lake Convalescent Center | Skilled Nursing Facility | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2015-02-11 |
| 1699030015 | Christy Rosenbauer | Contractor | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2012-07-11 |
| 1598902561 | Margaret Swartz | Physical Therapy Assistant | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2009-01-13 |
| 1518026566 | First American Enterprises Inc | Skilled Nursing Facility | 1016 Lakeshore Dr, Rice Lake, WI 54868-1225 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| 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 |
|---|---|---|---|---|
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1285935858 | Lorie Ann Haglin | Occupational Therapist | 425 Moullette Dr, Rice Lake, WI 54868-3097 | 2010-11-12 |
| 1396952073 | Amy Stibbe Marsh | Occupational Therapist | 700 Augusta St, Rice Lake, WI 54868-1935 | 2007-05-16 |
| 1114541232 | Catherine Mary Swiderski | Occupational Therapist | 2523 14 3/4 Ave, Rice Lake, WI 54868-8736 | 2020-06-04 |
| 1043726516 | Brenna Leigh Sweeney | Occupational Therapist | 1051 West Ave, Rice Lake, WI 54868-4425 | 2017-12-20 |
| 1851750731 | Ashley Speros | Occupational Therapist | 1051 West Ave, Rice Lake, WI 54868-2299 | 2016-02-19 |
| 1053702902 | Christine Kessler | Occupational Therapist | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2015-02-13 |
| 1609286053 | Kaylene Larae Holman | Occupational Therapist | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2014-05-06 |
| 1093007973 | Sarah M Bischel | Occupational Therapist | 331 S Main St, Rice Lake, WI 54868-2253 | 2011-05-10 |
| Find all providers in RICE LAKE | ||||
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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.