Katie L Adams, OTD, OTR/L
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Normal, IL
NPI 1134338940 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1134338940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 056008051 (IL)
- Practice address
- 2200 Fort Jesse Rd
Suite 250
Normal, IL 61761-6286 - Phone
- (309) 454-1616
- Fax
- (309) 454-5167
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056008051 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sports Medicine Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 056008051 | IL | Yes |
Addresses
Primary practice location
2200 Fort Jesse Rd
Suite 250
Normal, IL 61761-6286
Mailing address
2200 Fort Jesse Rd
Suite 250
Normal, IL 61761-6286
Phone (309) 268-0000
Other providers in Normal, IL
- Kelly J Abrams
- Mutasem Ahmad Khaled Abuhalaweh
- Accelerated Rehabilitation Centers, LTD
- Access Dental of Normal PLLC
- Janell Adams
- Kimberly Lynn Adelman
- Advanced Counseling Evaluation Treatment and Dui Services
- Advocate Health and Hospitals Corp.
- Advocate Health and Hospitals Corp.
- Advocate Health and Hospitals Corp.
All providers in Normal, IL · Physical Medicine & Rehabilitation Physician 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 10, 2011. 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.