KRISTINE A FRY (NPI# 1679747976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679747976 |
| Entity Type | Individual |
| Full Name | KRISTINE A FRY |
| Credential | OTR |
| Practice Address |
1555 Dousman St Green Bay WI 54303-3207 |
| Practice Telephone | 9204944525 |
| Practice Fax Number | 9204946887 |
| Mailing Telephone | 9204944525 |
| Mailing Fax Number | 9204946887 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40625700 | 05 |
| Street Address |
1555 DOUSMAN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671109 | Zunker Health Care Inc | Skilled Nursing Facility | 1555 Dousman St, Green Bay, WI 54303-3207 | 2005-06-30 |
| 1952756645 | Heather Marie Hermans | Physical Therapy Assistant | 1555 Dousman St, Green Bay, WI 54303-3207 | 2016-04-29 |
| 1407124084 | Linda Marx | Physical Therapy Assistant | 1555 Dousman St, Green Bay, WI 54303-3207 | 2011-12-09 |
| 1023386349 | Beth Lee Slippy | Occupational Therapist | 1555 Dousman St, Green Bay, WI 54303-3207 | 2011-12-01 |
| 1366615585 | Janet K Campbell | Physical Therapist | 1555 Dousman St, Green Bay, WI 54303-3207 | 2008-04-09 |
| 1508039041 | Kathi Ellison Debaker | Physical Therapy Assistant | 1555 Dousman St, Green Bay, WI 54303-3207 | 2008-04-04 |
| 1588837017 | Diane E Danhieux | Physical Therapy Assistant | 1555 Dousman St, Green Bay, WI 54303-3207 | 2008-04-04 |
| 1912170440 | Amy Deweert | Occupational Therapy Assistant | 1555 Dousman St, Green Bay, WI 54303-3207 | 2008-04-04 |
| 1619140142 | Beth Spicer | Occupational Therapist | 1555 Dousman St, Green Bay, WI 54303-3207 | 2008-04-04 |
| 1811160344 | Carrie Graf | Physical Therapy Assistant | 1555 Dousman St, Green Bay, WI 54303-3207 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| 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 |
|---|---|---|---|---|
| 1558604462 | Alyssa C Cormier | Occupational Therapist | 607 Edelweiss Dr, Green Bay, Green Bay, WI 54302-5117 | 2013-03-28 |
| 1558683136 | Angela Bartels | Occupational Therapist | 2801 S. Webster Ave, Green Bay, WI 54301 | 2010-02-23 |
| 1790917664 | Kristen Leigh Kosman | Occupational Therapist | 1328 Reed Street, Green Bay, WI 54303 | 2009-08-11 |
| 1427289032 | Kristin Marie Delforge | Occupational Therapist | 3137 Ridgeview Ter, Green Bay, WI 54301-1516 | 2009-07-30 |
| 1003072497 | Joanne Mary Wirtz | Occupational Therapist | 1275 S Robinson Ave, Green Bay, WI 54311-5537 | 2008-08-05 |
| 1528235900 | Mary Kathleen Maloney | Occupational Therapist | 1030 S Monroe Ave, Green Bay, WI 54301-3206 | 2008-05-14 |
| 1629240353 | Patricia Meister | Occupational Therapist | 600 S. Webster Ave, Green Bay, WI 54301-3503 | 2008-04-02 |
| 1346428414 | Kimi Marie Kelly | Occupational Therapist | 2661 S Broadway, Green Bay, WI 54304-5305 | 2008-01-31 |
| 1609069608 | Linda Marie Socker | Occupational Therapist | 812 S Fisk Street, Suite 109, Green Bay, WI 54304 | 2007-08-22 |
| 1326260746 | Molly Ann Huben | Occupational Therapist | 215 North Webster, Green Bay, WI 54301 | 2007-05-03 |
| Find all providers in GREEN BAY | ||||
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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.