Active NPI
Karen Ann Dhanens, OTR L
- Occupational Therapist
- Coal Valley, IL
National Provider Identifier
1831354364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056000570
- Practice address
- 1108 East 4TH Street
Coal Valley, IL 61240 - Phone
- (309) 799-5064
- Fax
- (309) 799-5464
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056000570 | IL | Primary |
| Occupational Therapist | 225X00000X | 00601 | IA |
Addresses
Primary practice location
1108 East 4TH Street
Coal Valley, IL 61240
Mailing address
1108 East 4TH Street
Coal Valley, IL 61240
Phone (309) 799-5064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00601 | IA | MD | Occupational Therapist |
| 056000570 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1831354364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 EAST 4TH STREET",
"city": "COAL VALLEY",
"state": "IL",
"postal_code": "61240",
"telephone_number": "309-799-5064",
"fax_number": "309-799-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 EAST 4TH STREET",
"city": "COAL VALLEY",
"state": "IL",
"postal_code": "61240",
"telephone_number": "309-799-5064",
"fax_number": "309-799-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHANENS",
"first_name": "KAREN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056000570",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "00601",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coal Valley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.