MARY KIRCHBERG (NPI# 1871653485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871653485 |
| Entity Type | Individual |
| Full Name | MARY KIRCHBERG |
| Credential | OTR |
| Practice Address |
4200 Savannah Dr De Forest WI 53532-2909 |
| Mailing Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6084173370 |
| Mailing Telephone | 6084176000 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3927-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 187653485 | 05 |
| Street Address |
4200 SAVANNAH DR |
| City | DE FOREST |
| State | WI |
| Zip Code | 53532-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033515283 | Ashley Dederich | Physical Therapy Assistant | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2014-11-17 |
| 1285067405 | Cayla Julia Schroeder | Physical Therapist | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2013-08-12 |
| 1366796583 | Face and Skin LLC | Otolaryngology | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2012-11-09 |
| 1720391410 | Judy Renee Klimt | Occupational Therapy Assistant | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2010-07-22 |
| 1619189339 | Elizabeth Groce | Physical Therapist | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2007-05-04 |
| 1831257724 | Laura Ziegler | Physical Therapist | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2006-12-05 |
| 1295802510 | Ellen P Braatz | Physical Therapist | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2006-11-30 |
| 1740357060 | Cynthia K Devine | Physical Therapy Assistant | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2006-11-30 |
| 1720156888 | Kristy A Beyer | Physical Therapist | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2006-11-30 |
| 1205904372 | Chris Jaszewski | Physical Therapist | 4200 Savannah Dr, De Forest, WI 53532-2909 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952650541 | Laura B Cole | Licensed Practical Nurse | 405 Anderson St., Deforest, WI 53532 | 2012-08-29 |
| 1043429707 | Tracy Beth Head | Pharmacist | 643 S. Main Street, Deforest, WI 53532 | 2007-05-21 |
| 1588702237 | Patricia Herschleb | Pharmacist | W6850 County Road Dm, De Forest, WI 53532 | 2007-02-02 |
| 1821147661 | Kathryn Marie Cacic | Nurse Practitioner | 7752 Clinton Road, Deforest, WI 53532 | 2007-01-10 |
| 1306915079 | Bakke Chiropractic Clinic Sc | Chiropractor | Bakke Chiropractic Clinic Sc, 312 East North Street, Deforest, WI 53532 | 2006-11-07 |
| 1689772485 | Gregg Nelson Bakke | Chiropractor | 312 East North Street, Bakke Chiropractic Clinic Sc, Deforest, WI 53532 | 2006-09-20 |
| 1730282344 | Deforest Dental Services | Dentist | 210 N. Main St., Ste 103, Deforest, WI 53532 | 2006-09-07 |
| 1326038670 | Trixie Irene Eakin | Optometrist | 101 S. Main St, De Forest, WI 53532 | 2005-10-27 |
| 1245663988 | Group Health Cooperative of South Central Wisconsin Deforest Clinic | Durable Medical Equipment & Medical Supplies | 815 S Main St, Deforest, WI 53532 | 2013-08-16 |
| 1205953866 | Essential Family Vision Care, S.c. | Optometrist | 101 S. Main St, De Forest, WI 53532 | 2007-03-26 |
| Find all providers in zip 53532 | ||||
| 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 |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
| 1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
| 1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY KIRCHBERG.
| 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.