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DESIREE WILDEMAN OTR/L NPI 1205100203


NPI Information

NPI: 1205100203
Provider Name: DESIREE WILDEMAN, OTR/L
Classification: Occupational Therapist - 225XP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3060 FRONTIER WAY
FARGO, ND
ZIP 58104
Phone: (701) 232-2340
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Desiree Wildeman, OTR/L is a pediatrics occupational therapist in Fargo, ND with 13 years of experience. The provider is occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. Desiree Wildeman, OTR/L NPI is 1205100203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3060 FRONTIER WAY
FARGO, ND
ZIP 58104-909
Phone: (701) 232-2340
Fax: (701) 232-2330

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • Evaluation of occupational therapy, typically 30 minutes (HCPCS:97165)
  • Evaluation of occupational therapy, typically 45 minutes (HCPCS:97166)

The enumeration date for this NPI number is 3/8/2012 and was last updated on 3/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatrics1221NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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