Mary Kathryn Peterson, OTR/L
Occupational Therapist in Bloomingdale, IL. Individual provider (NPI-1).
NPI number1235680893
StatusActive
Last updated in NPPESOct 19, 2016
Details
- NPI
- 1235680893
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Kathryn Peterson
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2016
- Last updated
- Oct 19, 2016
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 |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.011480 | IL | Yes |
Practice location
165 S Bloomingdale RdBloomingdale, IL 60108-1434
Phone 630-980-8700
Mailing address
165 S Bloomingdale RdBloomingdale, IL 60108
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.
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All 22 Occupational Therapist providers in Bloomingdale · All 962 providers in Bloomingdale
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