MRS. KIMBERLY ANN FITZGERALD OTR
NPI 1972717460
Occupational Therapist in Fond Du Lac, WI

Active since May 10, 2007
845 S MAIN ST STE 120, FOND DU LAC, WI 54935(920) 322-0447(920) 322-1362 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kimberly Ann Fitzgerald Otr NPPES

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

MRS. KIMBERLY ANN FITZGERALD OTR (NPI 1972717460) is an individual occupational therapist in Fond Du Lac, Wisconsin, licensed in Wisconsin (4507-026) and active in the NPI registry since May 2007. She maintains a secondary practice location in Manitowoc.

NPPES Registry Identity

NPI1972717460
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. KIMBERLY ANN FITZGERALDCredential: OTR
Location Address845 S MAIN ST STE 120Fond Du Lac, WI 54935-6116
Mailing Address845 S Main St Ste 120Fond Du Lac, WI 54935-6116 · (920) 322-0447 · Fax (920) 322-1362
Fax(920) 322-1362
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateMay 9, 2019
✔ NPI 1972717460 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 · 4507-026
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.
845 S MAIN ST STE 120, Fond Du Lac, WI 54935

Secondary Practice Location 1

Location 1960 S Rapids RdManitowoc, WI 54220-4146 · Phone (920) 684-1144

Other Identifiers 1

Medicaid41043800WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Ann Fitzgerald Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Fitzgerald reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
W180N7890 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 96 clinicians in this Medicare group
Physical Therapist
250 E WISCONSIN AVE FL 18
Milwaukee, WI 53202
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
Occupational Therapist
110 PACKERLAND DR STE C2
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
Physical Therapist
911 JACKSON ST STE 101
Wausau, WI 54403
  • Reassigned Medicare billing, Wisconsin enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

Speech-Language Pathologist
845 S MAIN ST STE 120
FOND DU LAC, WI 54935
Physical Therapist
845 S MAIN ST STE 120
FOND DU LAC, WI 54935
Physical Therapist
845 S MAIN ST STE 120
FOND DU LAC, WI 54935
Physical Therapist
845 S MAIN ST STE 120
FOND DU LAC, WI 54935
Speech-Language Pathologist
845 S MAIN ST STE 120
FOND DU LAC, WI 54935
Occupational Therapist
845 S MAIN ST STE 120
FOND DU LAC, WI 54935
Physical Therapy Assistant
845 S MAIN ST STE 120
FOND DU LAC, WI 54935
Home Health
845 S MAIN ST STE 120
FOND DU LAC, WI 54935

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 Kimberly Fitzgerald's NPI number?

The NPI number for Kimberly Fitzgerald is 1972717460. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Kimberly Fitzgerald located?

Kimberly Fitzgerald practices at 845 S Main St Ste 120, Fond Du Lac, WI 54935. The listed phone number is (920) 322-0447.

What is Kimberly Fitzgerald's specialty?

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

Is Kimberly Fitzgerald enrolled in Medicare?

Yes. Kimberly Fitzgerald is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fitzgerald reassigns Medicare benefits to 4 organizations: Paxxon Healthcare Services LLC (Menomonee Falls, WI), Fox Rehabilitation Services Wi LLC (Milwaukee, WI), Body & Soul Mfr Therapy LLC (Green Bay, WI) and Phyt Rehab Of Wisconsin, Inc. (Wausau, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Fitzgerald was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.