Individual provider Active NPI

Nathan Wayne Yeager, OT

  • Occupational Therapist
  • Jacksonville, IL
National Provider Identifier
1548220098
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Jul 13, 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 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

IdentifierTypeStateIssuer
UNIV OF NORTH DAKOTAOtherSCHOOL

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

LicenseStateTypeSpecialty
056007509ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.