Kathryn E Wassink, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056003008 Issued in IL

Practice address

10354 Prairie Dell Rd
Shipman, IL 62685-6105

Phone

(618) 973-3615

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

No

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.

• Therakids, P.C.

  • Pediatric Occupational Therapist
  • Shipman, IL
  • NPI 1366715328

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1942566500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10354 PRAIRIE DELL RD",
            "city": "SHIPMAN",
            "state": "IL",
            "postal_code": "626856105",
            "telephone_number": "618-973-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10354 PRAIRIE DELL RD",
            "city": "SHIPMAN",
            "state": "IL",
            "postal_code": "626856105",
            "telephone_number": "618-973-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSINK",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056003008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Marie Hartrich, OTR/L
• Richelle Rees Hannah, BA, RBT
• Lisa Marie Reid, FNP
• Katelyn Sage, DPT
• Therakids, P.C.
• Katherine L Whitworth, MS OTR/L
• Hannah Elise Wittman, M.A., CFY-SLP

• Pediatric Occupational Therapist in Shipman, IL
• Providers in Shipman, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.