Kaci Laine Wilmer, MOTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Roseau, MN
NPI 1487579322 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1487579322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 105206 (MN)
- Practice address
- 509 3Rd St NE
Roseau, MN 56751-1113 - Phone
- (218) 463-1471
- NPI assigned
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseau Community School #682 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 105206 | MN | Yes |
Addresses
Primary practice location
509 3Rd St NE
Roseau, MN 56751-1113
Mailing address
715 Delmore Dr
Roseau, MN 56751-1599
Phone (218) 463-4787
Other providers in Roseau, MN
- Rekiyatu Lawal Ugboajah
- Bryon D Vandewege
- Lorris Galen Vatnsdal II
- Peter Lloyd Vatnsdal
- Amber L Wibbels
- Kenneth James Wright
- Angela Yee
All providers in Roseau, MN · Pediatric Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.