AMIE L WILSON (NPI# 1629380167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629380167 |
| Entity Type | Individual |
| Full Name | AMIE L WILSON |
| Other Name | AMIE L JANZ |
| Credential | OTR |
| Practice Address |
402 First St Random Lake WI 53075-0323 |
| Mailing Address |
W7533 Cherry Hill Dr Adell WI 53001-1294 |
| Practice Telephone | 9209949700 |
| Mailing Telephone | 9209949495 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3556-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114119435 | Amie Lee Wilson | Counselor | 6211 N Strathbury Ave, Kansas City, MO 64151-4761 | 2007-08-10 |
| 1558989046 | Amie Michelle Wilson | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2020-07-10 |
| 1518344308 | Amie Wilson | Registered Nurse | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2015-04-30 |
| 1275962458 | Amie Jo Wilson | Counselor | 500 New Start Rd, Bronston, KY 42518-8572 | 2013-11-07 |
| Street Address |
402 FIRST ST |
| City | RANDOM LAKE |
| State | WI |
| Zip Code | 53075-0323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659543205 | Random Lake Spine & Sports Clinic | Clinic/Center | 321 Carroll St., Random Lake, WI 53075 | 2008-03-24 |
| 1134335169 | Jill Shea Suess | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-05-15 |
| 1285854240 | Random Lake Medical Center LLC | Family Medicine | N639 Silver Creek Cascade Road, Random Lake, WI 53075 | 2007-05-01 |
| 1437274925 | Barbara Alice Weber | Family Medicine | N639 Silver Creek Cascade Rd, Random Lake, WI 53075 | 2007-03-21 |
| 1487980074 | Megan C Horn | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-11-02 |
| 1790916443 | Virginia K Bowen | Physical Therapist | 402 First Street, Random Lake, WI 53075 | 2009-07-29 |
| 1679701742 | Jamie L. Carter | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-06-29 |
| 1205032786 | Valerie Jean Stone | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-06-22 |
| 1316978893 | Jensen Interhealth | Physical Therapist | 233 Carroll St, Random Lake, WI 53075 | 2006-07-05 |
| 1891092102 | Angela Marie Becker | Occupational Therapist | 402 First Street, Random Lake, WI 53075-0323 | 2011-02-23 |
| Find all providers in zip 53075 | ||||
| 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 |
|---|---|---|---|---|
| 1134335169 | Jill Shea Suess | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-05-15 |
| 1578515755 | Mueller Therapy, Inc. | Occupational Therapist | 402 First St., Random Lake, WI 53075-1272 | 2006-05-16 |
| 1598156598 | Jenna Dieringer | Occupational Therapist | 402 1st St, Random Lake, WI 53075-1772 | 2015-02-11 |
| 1891092102 | Angela Marie Becker | Occupational Therapist | 402 First Street, Random Lake, WI 53075-0323 | 2011-02-23 |
| 1700198678 | Michelle L Feierstein | Occupational Therapist | 402 First Street, Random Lake, WI 53075-0323 | 2010-07-08 |
| 1487980074 | Megan C Horn | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-11-02 |
| 1679701742 | Jamie L. Carter | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-06-29 |
| 1497937445 | Kathleen Mary Kohlbeck | Occupational Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2007-12-02 |
| 1205032786 | Valerie Jean Stone | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-06-22 |
| 1710190814 | Linda Stempel | Occupational Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2007-05-07 |
| Find all providers in RANDOM LAKE | ||||
| City | RANDOM LAKE |
| Zip Code | 53075 |
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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.