Individual provider Active NPI

Carley Rogechel Hager

  • Occupational Therapist
  • Beardstown, IL
National Provider Identifier
1245583079
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056009166 Issued in IL
Practice address
400 E 4TH St
Beardstown, IL 62618-1307
Phone
(217) 248-5795
NPI assigned
Oct 17, 2012
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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 056009166 IL Primary

Addresses

Primary practice location

400 E 4TH St
Beardstown, IL 62618-1307

Mailing address

1 Hart Dr
Beardstown, IL 62618-8011
Phone (217) 491-5891

Other practice location 1

1600 W Walnut St
Jacksonville, IL 62650-1136
Phone (217) 245-8541 ext. 3397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190710000384 IL Practitioner - Occupational Therapist in Private Practice 3476888728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beardstown Therapy ClinicGroup PAC ID 6507223989, 3 clinicians

Practice addresses (Care Compare)

400 E 4TH St
Beardstown, IL 62618-1307
Phone (217) 248-5795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056009166ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beardstown Therapy Clinic Occupational Therapist CurrentSince Apr 21, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist Past Accepting new patients

Locations

400 E 4th St
Beardstown, IL 62618
Phone (217) 248-5795

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1245583079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HART DR",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626188011",
            "telephone_number": "217-491-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 4TH ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181307",
            "telephone_number": "217-248-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "IL",
            "postal_code": "626501136",
            "country_code": "US",
            "telephone_number": "217-245-8541 x3397",
            "fax_number": "217-479-5675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGER",
        "first_name": "CARLEY",
        "middle_name": "ROGECHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beardstown, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.