Kimberly Jo Applen, COTA/L
Occupational Therapy Assistant in Peoria, IL. Individual provider (NPI-1).
NPI number1043485576
StatusActive
Last updated in NPPESApr 25, 2008
Details
- NPI
- 1043485576
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Jo Applen
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2008
- Last updated
- Apr 25, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 057.002770 | IL | Yes |
Practice location
6501 N Sheridan RdPeoria, IL 61614-2932
Phone 309-692-8110
Mailing address
6501 N Sheridan RdPeoria, IL 61614-2932
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Peoria, IL
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All 32 Occupational Therapy Assistant providers in Peoria · All 5,546 providers in Peoria
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