Brandi Renee York, OTR/L
Individual provider Active NPI Occupational Therapist · Marshall, IL
NPI 1104235845 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1104235845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056009842 (IL)
- Practice address
- 410 N 2ND St
Marshall, IL 62441-1010 - Phone
- (217) 826-2358
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 056009842 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056009842 | IL | Yes |
Addresses
Primary practice location
410 N 2ND St
Marshall, IL 62441-1010
Mailing address
550 W Frontage Rd
Suite 2415
Northfield, IL 60093-1202
Phone (877) 787-3422
Other providers in Marshall, IL
- Andrea Lynn Warner
- Erica Diane Weber
- Wellum Chiropractic Center Inc
- Jeffrey B Wellum
- William O Worthington
All providers in Marshall, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2014. 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.