Rashanda Gay, COTA-L
Individual provider Active NPI Occupational Therapy Assistant · Aledo, IL
NPI 1164096202 · NPPES record last updated Oct 28, 2022
Key facts
- NPI
- 1164096202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057005465 (IL)
- Practice address
- 304 SW 12TH St
Aledo, IL 61231-2707 - Phone
- (309) 582-5376
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057005465 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057005465 | IL | Yes |
Addresses
Primary practice location
304 SW 12TH St
Aledo, IL 61231-2707
Mailing address
304 SW 12TH Street
Aledo, USA 61231
Other providers in Aledo, IL
- Family Chiropractic Clinic of Viola, PC
- Amy L Feist
- Glenda E Foy
- Fresenius Medical Care Quad Cities, LLC
- Galva Family Dentistry, Inc.
- Genesis Medical Center, Aledo
- Genesis Medical Center, Aledo
- Genesis Medical Center, Aledo
- Genesis Medical Center, Aledo
- Genesis Senior Living, Aledo
All providers in Aledo, IL · Occupational Therapy Assistant 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 28, 2022. 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.