Breanna Joslin, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057005603 Issued in IL

Practice address

200 E Court St Ste 708
Kankakee, IL 60901-3845

Phone

(815) 304-5548

Fax

(815) 304-5723

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yakos Therapy PC

  • Speech-Language Pathologist
  • Kankakee, IL
  • NPI 1992132849
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1801465455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N SCHOOL ST",
            "city": "BRAIDWOOD",
            "state": "IL",
            "postal_code": "604081527",
            "telephone_number": "815-416-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 708",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013845",
            "telephone_number": "815-304-5548",
            "fax_number": "815-304-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSLIN",
        "first_name": "BREANNA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057005603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell O Jordan, D.C.
• Toni Renee Jordan, D.T.
• Joseph B. Pigato, LTD
• Joseph B. Pigato, LTD
• Dhruv Joshi, DO
• Maged Joudeh, PHARM. D.
• John V Jurica, M.D.
• Timothy William Kane, CRNA
• Kankakee Area Pharmacy Inc
• Kankakee Area Special Education Coop

• Occupational Therapy Assistant in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.