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Katilyn Renee Lopez, COTA/L

Occupational Therapy Assistant in Kankakee, IL. Individual provider (NPI-1).

NPI number1720710312
StatusActive
Last updated in NPPESJun 30, 2022

Details

NPI
1720710312
Entity type
Individual (NPI-1)
Name
Katilyn Renee Lopez
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2022
Certification date
Jun 30, 2022
Last updated
Jun 30, 2022

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 codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057.004917ILYes

Practice location

1601 Butterfield Trl
Kankakee, IL 60901-2959

Phone 815-936-6500

Mailing address

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347

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 Kankakee, IL

All 13 Occupational Therapy Assistant providers in Kankakee · All 851 providers in Kankakee

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