Salonia M Anderson, COTA/L

Individual provider Active NPI Occupational Therapist · Matteson, IL

NPI 1144844705 · NPPES record last updated Sep 1, 2026

Key facts

NPI
1144844705
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056.017069 (IL)
Practice address
131 Bowman St
Matteson, IL 60443-3015
Phone
(708) 600-7492
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
057.004058ILMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.017069 IL Yes

Addresses

Primary practice location

131 Bowman St
Matteson, IL 60443-3015

Mailing address

131 Bowman St
Matteson, IL 60443-3015
Phone (708) 600-7492

Other providers in Matteson, IL

All providers in Matteson, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.