Katherine Maxwell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.007891 Issued in IL

Practice address

110 S Lombard St
Mahomet, IL 61853-9202

Phone

(217) 586-9999

Fax

(217) 210-9488

NPI assigned

Jan 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carrara-Hay Counseling, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mahomet, IL
  • NPI 1497134738
  NPD (past)

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1104284520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S ELM BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205805",
            "telephone_number": "217-377-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S LOMBARD ST",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539202",
            "telephone_number": "217-586-9999",
            "fax_number": "217-210-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.007891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Loutrel, M.D.
• Mahomet Clinic LLC
• Linah Kwamboka Mairura, M.D.
• Alexandro Martinez, DMD
• Beth Mathews, APN
• MBS Envision LLC
• MBS Envision, Inc
• Mariah L McAnally, LSW
• Wendy Bordoff McCaughrin, PH.D CCC-SLP
• Marcie Diane McClain, M.A., CCC-SLP

• Occupational Therapist in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.