Ashley Foglesong, OT

Individual provider Active NPI Occupational Therapist · Kewanee, IL

NPI 1508294455 · NPPES record last updated Mar 19, 2024

Key facts

NPI
1508294455
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056010269 (IL)
Practice address
110 E 10TH St
Kewanee, IL 61443-1330
Phone
(309) 852-2200
Fax
(309) 852-2402
NPI assigned
Oct 30, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kewanee Physical Therapy and Rehab Specialists LLC (2 clinicians)

Practice addresses (Care Compare)

356 Front St
Galva, IL 61434-1365
Phone (309) 932-8100

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20131205000238 IL Practitioner - Occupational Therapist in Private Practice 8820225410 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Kewanee Physical Therapy and Rehab Specialists LLC Occupational Therapist Current
since Sep 6, 2013
Accepting new patients
Kewanee Physical Therapy and Rehab Specialists Current
since Nov 10, 2024
Accepting new patients

Locations

356 Front St
Galva, IL 61434
Phone (309) 932-8100

110 E 10th St
Kewanee, IL 61443
Phone (309) 852-2200

1258 W South St
Ste 1
Kewanee, IL 61443
Phone (309) 852-2200

112 E Williams St
Wyoming, IL 61491
Phone (309) 695-4010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056010269 IL Yes

Addresses

Primary practice location

110 E 10TH St
Kewanee, IL 61443-1330

Mailing address

110 E 10TH St
Kewanee, IL 61443-1330
Phone (309) 852-2200

Other names

  • Ashley Foglesong Former name

Other providers in Kewanee, IL

All providers in Kewanee, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.