Sherri D Mathis, MS, OTR/L

Individual provider Active NPI Occupational Therapist · Carmi, IL

NPI 1770733016 · NPPES record last updated Sep 23, 2008

Key facts

NPI
1770733016
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056007357 (IL)
Practice address
901 Stewart St
Carmi, IL 62821-1253
Phone
(618) 382-8020
NPI assigned
Sep 23, 2008
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056007357ILMDOccupational Therapist
31004499AINMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056007357 IL Yes
Occupational Therapist 225X00000X 31004499A IN

Addresses

Primary practice location

901 Stewart St
Carmi, IL 62821-1253

Mailing address

901 Stewart St
Carmi, IL 62821-1253
Phone (618) 382-8020

Other providers in Carmi, IL

All providers in Carmi, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.