Individual provider Active NPI

Danielle M Westendorf

  • Occupational Therapist
  • Effingham, IL
National Provider Identifier
1699920074
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056008540 Issued in IL
Practice address
901 Medical Park Dr
Suite 100
Effingham, IL 62401-2191
Phone
(217) 347-3003
Fax
(217) 347-3005
NPI assigned
Nov 26, 2008
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 056008540 IL Primary

Addresses

Primary practice location

901 Medical Park Dr
Suite 100
Effingham, IL 62401-2191

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

1201 Ricker Rd
Pod A
Salem, IL 62881-4263
Phone (217) 347-3003

Other identifiers 2

IdentifierTypeStateIssuer
2500075OtherBCBS IL
950854OtherHEALTHLINK

Other names 1

  • Danielle M Deters Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000674 IL Practitioner - Occupational Therapist in Private Practice 0840354395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056008540ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Sep 18, 2025 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Sep 18, 2025 Accepting new patients
Southern Illinois Hand Center, SC Past Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

9515 Holy Cross Ln
Ste 2
Breese, IL 62230
Phone (217) 347-3003

901 Medical Park Dr
Ste 100
Effingham, IL 62401
Phone (217) 347-3003

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1699920074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012191",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Ricker Rd",
            "address_2": "Pod A",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IL",
            "postal_code": "628814263",
            "country_code": "US",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTENDORF",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "2500075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "950854",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DETERS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.