Brett Casteel, BA, AAS, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Harrisburg, IL
NPI 1801280987 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1801280987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057003878 (IL)
- Practice address
- 102 E State St
Harrisburg, IL 62946-2720 - Phone
- (618) 841-5994
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- 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
- Associate of Applied Science, Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057003878 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057003878 | IL | Yes |
Addresses
Primary practice location
102 E State St
Harrisburg, IL 62946-2720
Mailing address
102 E State St
Harrisburg, IL 62946-2720
Phone (618) 841-5994
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057003878 | Other | IL | ILLINOIS LICENSURE |
Other providers in Harrisburg, IL
- Thomas Bucinski
- Maggie Burgess
- Edward Carl Burtis
- Patricia Ann Butler
- Thomas Butler
- City of Harrisburg
- Anne Melinda Clayton
- Morgan Rachael Colbert
- Coleman Tri-County Services, Inc.
- Carla Sue Collins
All providers in Harrisburg, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. 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.