Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861885477 Individual Practitioner Female Practitioner

Kimberly Wagner , MS, OTRL

Specialist • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Kimberly Wagner, MS, OTRL is a registered healthcare professional specializing in Specialist in Dearborn, MI. Practice services are available at 23936 MICHIGAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23936 Michigan Ave

Dearborn, MI 481241833

Telephone 3132784601
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.0 Yrs
State Avg: 37.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Dearborn, MI (867 Statewide)

Telehealth Adoption Rate
5.9% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MI 5201001795

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

State License MI 5201001795

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003197245
Mikayla Treynor

Speech-Language Pathologist

NPI 1003229832
Megan Mchugh

Behavior Technician

NPI 1003332966
Laura Nye , CCC-SLP

Speech-Language Pathologist

NPI 1003398934

Speech-Language Pathologist (Certificate of Clinical Competence)

Rida Rajani

Behavior Technician

NPI 1003403445
Alison Hughes

Behavior Technician

NPI 1003538646

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address July 30, 2019

Registered at 15045 BELMONT AVE, ALLEN PARK, MI 481011605 (Tel: 3133786648)

👤
Provider Name / Credentials Updated July 30, 2019

Recorded as KIMBERLY WAGNER, MS, OTRL

NPI Profile Active March 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2015

Registered at 23936 MICHIGAN AVE, DEARBORN, MI 481241833 (Tel: 3132784601)

📍
Updated Business Mailing Address March 07, 2015

Registered at 23936 MICHIGAN AVE, DEARBORN, MI 481241833 (Tel: 3132784601)

👤
Provider Name / Credentials Updated March 07, 2015

Recorded as KIMBERLY BONHAM-JENKINS, MS, OTRL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2015

Specialist (License #5201001795 in MI)

🟢
Initial NPI Registration & Enumeration March 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861885477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2015
Last Update: July 30, 2019
Sole Proprietor: No

Mailing Address

15045 Belmont Ave

Allen Park, MI 481011605

Phone: 3133786648

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.