Kimberly N Abalan, OTR
Individual provider Active NPI Occupational Therapist · Appleton, WI
NPI 1083847065 · NPPES record last updated Oct 11, 2009
Key facts
- NPI
- 1083847065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4722-26 (WI)
- Practice address
- 3305 N Ballard Rd Ste C
Appleton, WI 54911-9001 - Phone
- (920) 735-9234
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oasis Therapy Services LLC
Practice addresses (Care Compare)
631 Hazel St
Oshkosh, WI 54901-4600
Phone (920) 393-9998
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250813002548 | WI | Practitioner - Occupational Therapist in Private Practice | 7113425612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy Services LLC | Occupational Therapist | Current |
Accepting new patients |
| Valley-Bay Therapy Inc. | Occupational Therapist | Past |
Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4722-26 | WI | Yes |
Addresses
Primary practice location
3305 N Ballard Rd Ste C
Appleton, WI 54911-9001
Mailing address
2756 Clover St
Oshkosh, WI 54901-1566
Phone (920) 450-5639
Other providers in Appleton, WI
- A Village LLC
- Aaa Medical Transportaion LLC
- Aascend Chiropractic Institute, S.C.
- Aascend Pain Institute, SC
- Benjamin Thomas Abadeer
- Katie Abata
- Amanda Marie Abaya
- Ashraf Abbas
- Abbie Goodman, LLC
- Abbott Family Chiropractic, S.C.
All providers in Appleton, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.