Kimberly M Mario Wiggins, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

012019-1 Issued in NY

Practice address

1971 Marshland Rd
Apalachin, NY 13732

Phone

(607) 689-0922

NPI assigned

Nov 11, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly M Mario Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1669626123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 JONES RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503244",
            "telephone_number": "607-624-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 MARSHLAND RD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "13732",
            "telephone_number": "607-689-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIO WIGGINS",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012019-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MARIO",
            "middle_name": "M",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaysukh Mohanbhai Lalkiya, RPH
• Anne M Laubisch, COTA/L
• Stephanie Barbara Lockshin, PH.D.
• Elizabeth G Long, APRN-BC
• Mattie Anne Lucas, PTA
• Beth L Marsh, MS, CCC/SLP
• Julianne Elizabeth Martin, PT
• Linda M Matey, MSED
• Lisa Mathew, NP-C
• Teresa Marie McGinn-Van Hall

• Occupational Therapist in Apalachin, NY
• Providers in Apalachin, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.