KIM M BERG OTR/L
NPI 1053835173
Occupational Therapist in Green Bay, WI

Active since July 31, 2017
200 S BROADWAY, GREEN BAY, WI 54303(920) 228-9065 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, Jul 31, 2017 (2 updates tracked since 2017).

About Kim M Berg Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM M BERG OTR/L (NPI 1053835173) is an individual occupational therapist in Green Bay, Wisconsin, licensed in Wisconsin (3018-26) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1053835173
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKIM M BERGCredential: OTR/L
Location Address200 S BROADWAYGreen Bay, WI 54303-1516
Mailing Address701 Willow StreetPeshtigo, WI 54174
Sole ProprietorNo
Enumeration DateJuly 31, 2017
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1053835173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in WI · 3018-26
Definition

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.

200 S BROADWAY, Green Bay, WI 54303

Other Names 1

Former Name (1)Kim M Kelsey Otr/l

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (School)
200 S BROADWAY
GREEN BAY, WI 54303
Occupational Therapy Assistant
200 S BROADWAY
GREEN BAY, WI 54303
Occupational Therapist
200 S BROADWAY
GREEN BAY, WI 54303
Speech-Language Pathologist
200 S BROADWAY
GREEN BAY, WI 54303
Speech-Language Pathologist
200 S BROADWAY
GREEN BAY, WI 54303
Speech-Language Pathologist
200 S BROADWAY
GREEN BAY, WI 54303
Speech-Language Pathologist
200 S BROADWAY
GREEN BAY, WI 54303
Speech-Language Pathologist
200 S BROADWAY
GREEN BAY, WI 54303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Berg's NPI number?

The NPI number for Kim Berg is 1053835173. It was assigned to this individual provider in the NPPES registry on July 31, 2017. The provider is also known as Kim M Kelsey Otr/L.

Where is Kim Berg located?

Kim Berg practices at 200 S Broadway, Green Bay, WI 54303. The listed phone number is (920) 228-9065.

What is Kim Berg's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Kim Berg was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.