Krista Ann Debrabander, OT
Individual provider Active NPI Pediatric Occupational Therapist · Manhattan, IL
NPI 1780187260 · NPPES record last updated May 4, 2023
Key facts
- NPI
- 1780187260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 056012437 (IL)
- Practice address
- 15745 W Crobally Way
Manhattan, IL 60442-7724 - Phone
- (815) 955-0735
- Fax
- (815) 717-7353
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056012437 | IL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toddlers N' Tykes Therapy Inc. | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056012437 | IL | Yes |
Addresses
Primary practice location
15745 W Crobally Way
Manhattan, IL 60442-7724
Mailing address
15745 W Crobally Way
Manhattan, IL 60442-7724
Phone (815) 955-0735
Other providers in Manhattan, IL
- Kori Craig
- Melissa Culligan
- Mary D'Adam
- Hazem Dabbour
- Danielle Daletski
- Anne Doroba
- Dana Marie Evans
- Laura Falkner
- Families First Autism Services LLC
- Kelly Marie Farmer
All providers in Manhattan, IL · Pediatric Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.