Andrea Koester, MSOT
Occupational Therapist in Carterville, IL. Individual provider (NPI-1).
NPI number1265014237
StatusActive
Last updated in NPPESApr 28, 2021
Details
- NPI
- 1265014237
- Entity type
- Individual (NPI-1)
- Name
- Andrea Koester
- Credential
- MSOT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2021
- Certification date
- Apr 28, 2021
- Last updated
- Apr 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- 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 | 056.009340 | IL | Yes |
Practice location
507 Dogwood LnCarterville, IL 62918-1624
Phone 314-598-7591
Mailing address
507 Dogwood LnCarterville, IL 62918-1624
Phone 314-598-7591
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