Kellie Tennille Thomas, OTR/L
Individual provider Active NPI Occupational Therapist · Glenwood, IL
NPI 1336463835 · NPPES record last updated Dec 18, 2025
Key facts
- NPI
- 1336463835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056007647 (IL)
- Practice address
- 1106 W Iowa St
Glenwood, IL 60425-1025 - Phone
- (708) 906-4172
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Absolute Therapy Services LLC
Practice addresses (Care Compare)
707 Skokie Blvd
Suite 600
Northbrook, IL 60062-2841
Phone (847) 644-3628
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260113003087 | IL | Practitioner - Occupational Therapist in Private Practice | 3274019823 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056007647 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Therapy Services LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
707 Skokie Blvd
Ste 600
Northbrook, IL 60062
Phone (847) 644-3628
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056007647 | IL | Yes |
Addresses
Primary practice location
1106 W Iowa St
Glenwood, IL 60425-1025
Mailing address
1106 W Iowa St
Glenwood, IL 60425-1025
Phone (708) 906-4172
Other providers in Glenwood, IL
- Dorothedre Michelle Sterling
- Ericka Latrease Stuckey
- Tamera B. Senior Transitions and Move Management Services, LLC
- The Clay Institute for Mental Wellness LLC
- April L Thomas
- Shaniqua Tomlin
- Transitions Home Health Care, Inc.
- Tri-Nue Therapy P.C.
- Joleasa Trice
- Rochelle L Turner
All providers in Glenwood, 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 18, 2025. 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.