Active NPI
Nathan Wayne Yeager, OT
- Occupational Therapist
- Jacksonville, IL
National Provider Identifier
1548220098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 901 W Morton Ave
Suite 16a
Jacksonville, IL 62650-3146 - Phone
- (217) 245-4640
- Fax
- (217) 245-4642
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Primary |
Addresses
Primary practice location
901 W Morton Ave
Suite 16a
Jacksonville, IL 62650-3146
Mailing address
715 Magnolia Dr
Chatham, IL 62629-1129
Phone (217) 391-4314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNIV OF NORTH DAKOTA | Other | SCHOOL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056007509 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Industrial Rehabilitation of Jacksonville | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Assistant
- Jacksonville, IL
- NPI 1093775561
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1548220098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 MAGNOLIA DR",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626291129",
"telephone_number": "217-391-4314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MORTON AVE",
"address_2": "SUITE 16A",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626503146",
"telephone_number": "217-245-4640",
"fax_number": "217-245-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "NATHAN",
"middle_name": "WAYNE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL",
"identifier": "UNIV OF NORTH DAKOTA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.