Callie Jo Estes
Individual provider Active NPI Occupational Therapy Assistant · Beardstown, IL
NPI 1942957592 · NPPES record last updated Mar 3, 2022
Key facts
- NPI
- 1942957592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057005741 (IL)
- Practice address
- 8306 Saint Lukes Dr
Beardstown, IL 62618-8384 - Phone
- (217) 761-7831
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057005741 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057005741 | IL | Yes |
Addresses
Primary practice location
8306 Saint Lukes Dr
Beardstown, IL 62618-8384
Mailing address
2204 Cormorant Dr
Springfield, IL 62711-6213
Phone (217) 761-7831
Other providers in Beardstown, IL
- Audra Jaye Elam
- Courtney Brooke Elliott
- Cynthia J Elliott
- Kadie Lee Ellner
- Michael David Elmore
- Evergreen Place Beardstown LLC
- Brenda Eyler
- Diana Feigl
- Hailey Nicole Feigl
- Cari Flowers
All providers in Beardstown, 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 3, 2022. 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.