NPIMap

Organization Active NPI

Occupational Performance and Rehab, PC

  • Occupational Therapist
  • Marion, IL
National Provider Identifier
1689746216
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.003255 Issued in IL
Legal business name
OCCUPATIONAL PERFORMANCE AND REHAB, PC
Practice address
3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800
Phone
(618) 993-6237
Fax
(618) 997-3529
NPI assigned
Nov 15, 2006
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Verlinda Henshaw, OTD, MS, OTR/LNPI 1316011687
Title
Owner
Phone
(618) 993-6237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070013687 IL
Physical Therapist 225100000X 070001021 IL
Physical Therapist 225100000X 070015812 IL
Occupational Therapist 225X00000X 056006919 IL
Occupational Therapist 225X00000X 056007020 IL
Occupational Therapist 225X00000X 056006921 IL
Occupational Therapist 225X00000X 056.003255 IL Primary

Addresses

Primary practice location

3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800

Mailing address

3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800
Phone (618) 993-6237

National Provider Directory

National Provider Directory

Locations

8341 Express Dr
Marion, IL 62959
Phone (618) 993-6237

119 S Jackson St
Mc Leansboro, IL 62859
Phone (618) 993-6237

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1689746216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 W ERNESTINE DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595800",
            "telephone_number": "618-993-6237",
            "fax_number": "618-997-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 W ERNESTINE DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595800",
            "telephone_number": "618-993-6237",
            "fax_number": "618-997-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL PERFORMANCE AND REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "HENSHAW",
        "authorized_official_first_name": "VERLINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-993-6237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013687",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070001021",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015812",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006919",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007020",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006921",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.003255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.