Individual provider · Type 1 NPI

Kim M. Berg, OTR/L

Occupational Therapist · Green Bay, WI

NPI number 1053835173 Active

Practice location

200 S Broadway
Green Bay, WI 54303-1516

Call (920) 228-9065 Map

Mailing address

701 Willow Street
Peshtigo, WI 54174

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3018-26 (WI)

Occupational Therapist: 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…

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About NPI 1053835173

Kim M. Berg, OTR/L's National Provider Identifier is 1053835173, issued on Jul 31, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Green Bay, WI. The record was last updated on May 6, 2026.