Tessa Victoria Pfortmiller, OTR/L
Individual provider Active NPI Occupational Therapist · South Barrington, IL
NPI 1306511209 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1306511209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056014279 (IL)
- Practice address
- 3 Executive CT
South Barrington, IL 60010-9537 - Phone
- (847) 387-4086
- NPI assigned
- Aug 12, 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 |
|---|---|---|---|
| 056014279 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056014279 | IL | Yes |
Addresses
Primary practice location
3 Executive CT
South Barrington, IL 60010-9537
Mailing address
40W657 Prairie Xing
Elgin, IL 60124-8257
Phone (847) 565-9467
Other providers in South Barrington, IL
- Oasis Home Healthcare, Inc.
- Meghann Overbey
- Julia Panarese
- Pawn Scarpelli, LTD
- Peter Zepelak Physical Therapy PC
- Debra K Platek
- Podiatry Homecare SC
- Silvy Philip Powathil
- Progressive Play Therapy LLC
- Radiant Health, Inc.
All providers in South Barrington, 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 Aug 12, 2021. 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.