Amanda L Rawdon, OTR/L
Individual provider Active NPI Occupational Therapist · Havana, IL
NPI 1215263181 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1215263181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056008421 (IL)
- Practice address
- 615 N Promenade St
Havana, IL 62644-1243 - Phone
- (309) 543-8578
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|
| 056008421 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056008421 | IL | Yes |
Addresses
Primary practice location
615 N Promenade St
Havana, IL 62644-1243
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (309) 543-8578
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376017857001 | Medicaid | IL |
Other providers in Havana, IL
- Petersen Health Care Inc
- Jessica Poling
- Donald Quinones
- Ronald Paul Quinones
- R & Q Corporation
- Anthony Dale Roberts
- Sarah Salsman
- Sherie Lynn Sarff Turner
- Derek Smith
- Jennifer Kristine Snider
All providers in Havana, IL · 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 Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.