Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003962317 Individual Practitioner Female Practitioner

Michelle Anne Wildman , OTRL

Day Training, Developmentally Disabled Services • Fort Walton Beach, FL

Professional Overview & Biography Verified Profile Summary

Michelle Wildman, OTRL is a registered healthcare professional specializing in Day Training, Developmentally Disabled Services in Fort Walton Beach, FL. Practice services are available at 122 EGLIN PKWY NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

122 Eglin Pkwy Ne

Fort Walton Beach, FL 325484917

Telephone 8505436227
Fax 8508639974
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Day Training, Developmentally Disabled Services in Fort Walton Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Fort Walton Beach, FL (414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Day Training, Developmentally Disabled Services Primary Specialty

NUCC Taxonomy Code: 251C00000X

State License FL 11903

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Erin Ranz , MOT, OTR, L

Occupational Therapist

NPI 1194156406

Master of Occupational Therapy, Occupational Therapist Registered, L

Ashley Joyner , MS, CCC-SLP

Speech-Language Pathologist

NPI 1528539020

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Veal , MS- CCC, SLP

Speech-Language Pathologist

NPI 1679734230

MSCCC, Speech-Language Pathologist

Mary Tatum , MED, CCC-SLP

Speech-Language Pathologist

NPI 1700107448

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

Barbara Carter

Speech-Language Pathologist

NPI 1932251626

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 122 EGLIN PKWY NE, FORT WALTON BEACH, FL 325484917 (Tel: 8505436227)

📍
Updated Business Mailing Address July 08, 2007

Registered at 852 RADFORD CT, SHALIMAR, FL 325792169 (Tel: 8505436227)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHELLE WILDMAN, OTRL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Day Training, Developmentally Disabled Services (License #11903 in FL)

🟢
Initial NPI Registration & Enumeration January 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003962317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

852 Radford Ct

Shalimar, FL 325792169

Phone: 8505436227

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.