Alysa Nicole Bainter, O.T
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Pittsfield, IL
NPI 1114224516 · NPPES record last updated Oct 4, 2013
Key facts
- NPI
- 1114224516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- Practice address
- 128 W Washington St
Pittsfield, IL 62363-1441 - Phone
- (217) 285-4512
- Fax
- (217) 285-5740
- NPI assigned
- Feb 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy & Sports Medicine LLC | Past | Accepting new patients | |
| Advance Physical Therapy & Sports Medicine of Adams County LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Yes |
Addresses
Primary practice location
128 W Washington St
Pittsfield, IL 62363-1441
Mailing address
128 W. Washington Street
Pittsfield, IL 62636
Phone (217) 285-4512
Other providers in Pittsfield, IL
- Ansari MD LTD
- Ansar H Ansari
- Shehnaz Ansari
- Ashley Baalman
- Sebastian Baginski
- Kelly Marie Baker
- Cory Barnes
- Nanette Montgomery Bess
- Best Buy Pharmacy of Pittsfield
- Blessing Care Corp.
All providers in Pittsfield, IL · Physical Rehabilitation 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 Oct 4, 2013. 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.