Chandana Dash, OTR
Individual provider Active NPI Occupational Therapist · Du Quoin, IL
NPI 1801957337 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801957337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 101 E Main St
Du Quoin, IL 62832-1422 - Phone
- (618) 542-8950
- Fax
- (618) 542-8746
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synergy Therapeutic Group
Practice addresses (Care Compare)
1110 Cedar CT
Carbondale, IL 62901-5300
Phone (618) 529-4360
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051109000328 | IL | Practitioner - Occupational Therapist in Private Practice | 7719905918 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.006981 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Therapeutic Group | Occupational Therapist | Current |
Accepting new patients |
Locations
1110 Cedar Ct
Carbondale, IL 62901
Phone (618) 457-4144
101 E Main St
Du Quoin, IL 62832
Phone (618) 542-8950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Yes |
Addresses
Primary practice location
101 E Main St
Du Quoin, IL 62832-1422
Mailing address
606 Country Club LN
Carterville, IL 62918-1629
Phone (618) 542-8950
Other providers in Du Quoin, IL
- Kathleen Cox-Palmer
- Lindsey Cox
- Craig W. Furry
- Chelsea Lynn Crisp
- Tonya Danner
- Chelsea Davis
- Michaela Davis
- Timothy Scott Davis
- Isaac E. Davison
- Decker Chiropractic, Inc
All providers in Du Quoin, IL · 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.