Kathleen Marie Becket, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Dekalb, IL
NPI 1053960369 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1053960369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.002479 (IL)
- Practice address
- 428 W Lincoln Hwy RM 1
Dekalb, IL 60115-3003 - Phone
- (309) 883-1798
- NPI assigned
- Sep 9, 2019
- 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 |
|---|---|---|---|
| 057.002479 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.002479 | IL | Yes |
Addresses
Primary practice location
428 W Lincoln Hwy RM 1
Dekalb, IL 60115-3003
Mailing address
428 W Lincoln Hwy RM 1
Dekalb, IL 60115-3003
Phone (309) 883-1798
Other providers in Dekalb, IL
- Joseph R Baumgart
- Kathleen S. Baxa
- Maya Beard
- Melissa Rhoades Beck
- Lisa Davidson Becker
- Emily Belcher
- Kaitlyn Marie Bell
- Ben Gordon Center
- Ben Gordon Center
- Ben Gordon Center
All providers in Dekalb, 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 Sep 9, 2019. 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.