Individual provider Active NPI

Katharine Danielle Palermo, OTR/L

  • Occupational Therapist
  • Plainfield, IL
National Provider Identifier
1578726709
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.006126 Issued in IL
Practice address
13246 S Route 59
Suite 100
Plainfield, IL 60585-9800
Phone
(815) 272-5117
Fax
(866) 615-0768
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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 056.006126 IL Primary

Addresses

Primary practice location

13246 S Route 59
Suite 100
Plainfield, IL 60585-9800

Mailing address

2218 Country Ridge Dr
Plainfield, IL 60586-5780
Phone (815) 272-5117

Other identifiers 1

IdentifierTypeStateIssuer
9932458OtherILBLUE CROSS/ BLUE SHIELD PROVIDER NUMBER

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
056.006126ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Developmental Services LTD 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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1578726709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 COUNTRY RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865780",
            "telephone_number": "815-272-5117",
            "fax_number": "866-615-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13246 S ROUTE 59",
            "address_2": "SUITE 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859800",
            "telephone_number": "815-272-5117",
            "fax_number": "866-615-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "KATHARINE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.006126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD PROVIDER NUMBER",
            "identifier": "9932458",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.