Kimberlie Koester-Bender
Individual provider Active NPI Occupational Therapist · Moweaqua, IL
NPI 1316977291 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316977291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 1760 N 2525 East Rd
Moweaqua, IL 62550-8525 - Phone
- (217) 412-7944
- Fax
- (217) 768-4988
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation Illinois LLC
Practice addresses (Care Compare)
2201 W Main St
Shelbyville, IL 62565-9633
Phone (618) 331-7349
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
901 Medical Ctr Dr
Monticello, IL 61856-2144
Phone (217) 302-4076
909 Green Mill Rd
Arcola, IL 61910-3527
Phone (217) 290-4950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221109003493 | IL | Practitioner - Occupational Therapist in Private Practice | 1557738267 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Occupational Therapist | Current |
Accepting new patients |
| Imboden Creek Gardens LLC | Current |
Accepting new patients | |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients | |
| KB Therapy, Inc | Past | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
2650 N Monroe St
Decatur, IL 62526
Phone (217) 290-5785
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
215 E Locust St
Harrisburg, IL 62946
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Yes |
Addresses
Primary practice location
1760 N 2525 East Rd
Moweaqua, IL 62550-8525
Mailing address
1760 N 2525 East Rd
Moweaqua, IL 62550-8525
Other providers in Moweaqua, IL
- Thomas Michael Bilyeu
- Holli Churchill
- Taylor A Cook
- Paige Marie Hatfield
- KB Therapy, Inc
- Brian J McGregor
- Messamore Family Chiropractic LTD
- Moweaqua Community Ambulance Service
- Moweaqua Family Practice Center, LTD
- Moweaqua Pharmacy PC
All providers in Moweaqua, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.