Active NPI
Kimberly Astle, MOT, OTR/L
- Occupational Therapist
- Bourbonnais, IL
National Provider Identifier
1992198352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.010116
- Practice address
- 21 Heritage Dr Ste 101
Bourbonnais, IL 60914-1465 - Phone
- (815) 937-8220
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.010116 | IL | Primary |
Addresses
Primary practice location
21 Heritage Dr Ste 101
Bourbonnais, IL 60914-1465
Mailing address
21 Heritage Dr Ste 101
Bourbonnais, IL 60914-1465
Phone (815) 937-8220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220509001940 | IL | Practitioner - Occupational Therapist in Private Practice | 4385021583 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 E Maron Ave
Dwight, IL 60420-1124
Phone (815) 584-9280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.010116 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 2
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
IL, Occupational Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1992198352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HERITAGE DR STE 101",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141465",
"telephone_number": "815-937-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HERITAGE DR STE 101",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141465",
"telephone_number": "815-937-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTLE",
"first_name": "KIMBERLY",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.010116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
- Carlos Aquino Jr., LCPC
- Archangel Home Health LLC
- Clementina Asamoah, MD
- Jennifer D Ascher, M.S. CCC-SLP/L
- Associated Foot and Ankle Clinics, PC
- Suzanne Astle, LPC
- Athletic & Therapeutic Institute of Bourbonnais, LLC
- Athletic &Therapeutic Institute of Bourbonnais LLC
- Athletic and Therapeutic Institute of Bourbonnais, LLC
- Kathleen Marie Austin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.