Kerry Anne Fallon, OTR/L
Individual provider Active NPI Occupational Therapist · Fox River Grove, IL
NPI 1306106158 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1306106158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 930 Il Route 22
Fox River Grove, IL 60021-1905 - Phone
- (224) 219-1924
- NPI assigned
- May 25, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Rehabilitation Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
930 Il Route 22
Fox River Grove, IL 60021-1905
Mailing address
930 Il Route 22
Fox River Grove, IL 60021-1905
Other providers in Fox River Grove, IL
- Dr. Jonathan Brown
- Shannon Duarte
- Shannon Dunn
- Katherine Edwards
- Ela Home Care
- Fox River Grove Cons SD 3
- Fox River Grove Fire Protection District
- Samantha France
- Rachelle D Hardy
- Erin Rebecca Hord
All providers in Fox River Grove, 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 Sep 22, 2023. 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.