Anastasia Bormann Nethery, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056014101 Issued in IL

Practice address

800 E Carpenter St
Springfield, IL 62769-1000

Phone

(217) 544-6464

NPI assigned

Jun 5, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Anastasia Lourits Bormann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1669366571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CHESTERFIELD RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035207",
            "telephone_number": "630-648-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627691000",
            "telephone_number": "217-544-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 W Iles Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627117051",
            "country_code": "US",
            "telephone_number": "217-793-9429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETHERY",
        "first_name": "ANASTASIA",
        "middle_name": "BORMANN",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056014101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "BORMANN",
            "middle_name": "LOURITS",
            "credential": "MSOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha Victoria Nessler, D.C.
• Nested Roots PLLC
• John E. Nester, M.D.
• Anthony Joseph Nestler, MD
• Bethany Hope Nestler, MD
• Ethan Thomas Nethery, MD
• Anna Neumann, PTA
• Rusty Carl Neumann, DPT
• Evyn Leigh Neumeister, MD, MPH
• Michael W Neumeister, M.D.

• Occupational Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.