Kristin Romero, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Wood River, IL
NPI 1003748534 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1003748534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.002922 (IL)
- Practice address
- 849 Lewis Ave
Wood River, IL 62095-2323 - Phone
- (618) 610-9419
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.002922 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | 057.002922 | IL | Yes |
Addresses
Primary practice location
849 Lewis Ave
Wood River, IL 62095-2323
Mailing address
849 Lewis Ave
Wood River, IL 62095-2323
Other providers in Wood River, IL
- Kristin Kaye Piper
- Stephanie Pruett
- Amanda Pruitt
- Anna Pruitt
- Purple Giraffe Speech Inc
- Ronald Weems Jr P.C.
- Sara Hunter Counseling
- Jennifer Ann Schneider
- Cassie Lynn Scroggins
- Hannah Grace Settle
All providers in Wood River, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.