Individual provider Active NPI

Kaneisha Hoehn

  • Occupational Therapist
  • Springfield, IL
National Provider Identifier
1023641883
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.013434 Issued in IL
Practice address
900 N Rutledge St
Springfield, IL 62702-3721
Phone
(217) 789-0930
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.013434 IL Primary

Addresses

Primary practice location

900 N Rutledge St
Springfield, IL 62702-3721

Mailing address

20293 Pinetree TRL
Witt, IL 62094-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211106000202 IL Practitioner - Occupational Therapist in Private Practice 3779972054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 N Hickory St
Pana, IL 62557-1000
Phone (217) 262-7669

1091 E 1500 N Rd
Taylorville, IL 62568-9500
Phone (217) 290-1896

2201 W Main St
Shelbyville, IL 62565-9633
Phone (618) 331-7349

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

920 McAdam Dr
Taylorville, IL 62568-9635
Phone (217) 216-9675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.013434ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Oct 29, 2021 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Feb 17, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Oct 29, 2021 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Feb 17, 2022 Accepting new patients

Locations

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1023641883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20293 PINETREE TRL",
            "city": "WITT",
            "state": "IL",
            "postal_code": "620942310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N RUTLEDGE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023721",
            "telephone_number": "217-789-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEHN",
        "first_name": "KANEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.