Individual provider Active NPI

Kate J Toennies, OTR/L

  • Occupational Therapist
  • Maryville, IL
National Provider Identifier
1134937907
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016367 Issued in IL
Practice address
4996 State Route 159
Suite B
Maryville, IL 62062
Phone
(618) 288-4677
NPI assigned
Dec 24, 2024
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 016367 IL Primary

Addresses

Primary practice location

4996 State Route 159
Suite B
Maryville, IL 62062

Mailing address

PO Box 153
Albers, IL 62215-0153
Phone (618) 795-3594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121001365 IL Practitioner - Occupational Therapist in Private Practice 6002345014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians

Practice addresses (Care Compare)

4996 S State Route 159
Suite B
Glen Carbon, IL 62034-1906
Phone (618) 288-4677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016367ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC CurrentSince Jan 6, 2025 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

1350 Grand Ave
Beardstown, IL 62618
Phone (217) 350-0361

144 Lincoln Place Ct
Ste 1
Belleville, IL 62221
Phone (618) 233-5163

4996 S State Route 159
Ste B
Glen Carbon, IL 62034
Phone (618) 288-4677

1503 Lindell Blvd
Granite City, IL 62040
Phone (618) 709-4125

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1134937907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "ALBERS",
            "state": "IL",
            "postal_code": "622150153",
            "telephone_number": "618-795-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4996 STATE ROUTE 159",
            "address_2": "SUITE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOENNIES",
        "first_name": "KATE",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "016367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.