Jordan Aleece Gehrig, COTA
Individual provider Active NPI Occupational Therapy Assistant · Monmouth, IL
NPI 1609560952 · NPPES record last updated Aug 6, 2023
Key facts
- NPI
- 1609560952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057006017 (IL)
- Practice address
- 117 S I St
Monmouth, IL 61462-1544 - Phone
- (309) 734-3811
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057006017 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057006017 | IL | Yes |
Addresses
Primary practice location
117 S I St
Monmouth, IL 61462-1544
Mailing address
1497 N Town Ave
Princeville, IL 61559-9782
Phone (309) 863-0601
Other practice location 1
2600 Compass Rd
Glenview, IL 60026-8001
Phone (877) 787-3430
Other providers in Monmouth, IL
- Nancy Elsharkawy
- Sheila Raedine Feaster
- Jennifer Lee Ferguson
- Fresenius Medical Care Monmouth, LLC
- Amy Gaule
- Hana Getahun
- Tonya Renee Gibbs
- Terri Lynn Gittings
- Mukund Godbole
- Daniel J Gracey
All providers in Monmouth, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.