Individual provider Active NPI

Kayla Elizabeth Page, OTR/L

  • Occupational Therapist
  • Lawrenceville, IL
National Provider Identifier
1619864253
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056015743 Issued in IL
Practice address
11362 Country Club Rd
Lawrenceville, IL 62439-4325
Phone
(618) 707-4360
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 056015743 IL Primary

Addresses

Primary practice location

11362 Country Club Rd
Lawrenceville, IL 62439-4325

Mailing address

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

Other practice location 1

1527 College Drive
Mt Carmel, IL 62863
Phone (618) 263-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917002995 IL Practitioner - Occupational Therapist in Private Practice 7810491446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wabash General Hospital DistrictGroup PAC ID 8022908185, shared by 10 NPIs, 77 clinicians

Practice addresses (Care Compare)

11362 Country Club Rd
Lawrenceville, IL 62439-4325
Phone (618) 707-4360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056015743ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Wabash General Hospital District CurrentSince Aug 1, 2025 Accepting new patients

Locations

11362 Country Club Rd
Lawrenceville, IL 62439
Phone (618) 707-4360

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

1525 College Dr
Mount Carmel, IL 62863
Phone (618) 263-6343

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1619864253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 COLLEGE DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632638",
            "telephone_number": "618-262-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11362 COUNTRY CLUB RD",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394325",
            "telephone_number": "618-707-4360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1527 College Drive",
            "address_purpose": "LOCATION",
            "city": "Mt Carmel",
            "state": "IL",
            "postal_code": "62863",
            "country_code": "US",
            "telephone_number": "618-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056015743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.