Individual provider Active NPI

Katherine Z Demunno, OTR/L

  • Occupational Therapist
  • Crystal Lake, IL
National Provider Identifier
1508031444
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.004156 Issued in IL
Practice address
407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602
Phone
(847) 766-0011
Fax
(847) 999-6722
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 056.004156 IL Primary

Addresses

Primary practice location

407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602

Mailing address

407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602
Phone (847) 766-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002960 IL Practitioner - Occupational Therapist in Private Practice 8123462421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Chicago, Pritzker School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Advanced TherapyGroup PAC ID 1052774460, 7 clinicians

Practice addresses (Care Compare)

700 E Oak Street
Suite 206
Lake in the Hills, IL 60156-6176
Phone (847) 766-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.004156ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Advanced Therapy CurrentSince Jan 1, 2024 Accepting new patients
Given Sports & Physical Therapy, P.C. CurrentSince Nov 17, 2024 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist Past Accepting new patients

Locations

407 E Terra Cotta Ave
Ste E
Crystal Lake, IL 60014
Phone (815) 477-8004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1508031444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "847-766-0011",
            "fax_number": "847-999-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "847-766-0011",
            "fax_number": "847-999-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMUNNO",
        "first_name": "KATHERINE",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.004156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.