MR. MATTHEW REIOT KLEBENOW (NPI# 1043567720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043567720 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW REIOT KLEBENOW |
| Credential | O.T. |
| Practice Address |
852a Sharp Drive Provena Physical Therapy & Industrial Rehab. Center Shorewood IL 60404 |
| Mailing Address |
333 North Madison Provena Saint Joseph Medical Center Joliet IL 60435 |
| Practice Telephone | 8157417416 |
| Practice Fax Number | 8157410774 |
| Mailing Telephone | 8157417416 |
| Mailing Fax Number | 8157410774 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.004830 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
852A SHARP DRIVE PROVENA PHYSICAL THERAPY & INDUSTRIAL REHAB. CENTER |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| 1356468391 | Nomon Thanadabouth | Chiropractor | 102 West Jefferson Street Unit 1, Shorewood, IL 60404 | 2007-03-23 |
| Find all providers in zip 60404 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1104331040 | Kathleen Marie Ogrady | Occupational Therapist | 700 W Black Rd, Shorewood, IL 60404-8400 | 2017-12-13 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1831456102 | Jane E Boland | Occupational Therapist | 4245 N Woodburn St, Shorewood, WI 53211-1504 | 2012-04-11 |
| 1558660589 | Susan M. Bliffert | Occupational Therapist | 2718 E Capitol Dr, Shorewood, WI 53211-2141 | 2011-03-16 |
| 1831352731 | Kelli J O'shea | Occupational Therapist | 19685 Hwy 7, Shorewood, MN 55331 | 2008-07-10 |
| 1124057302 | Tijuanna Mcewen | Occupational Therapist | 857 Center Ct Unit D, Shorewood, IL 60431-8520 | 2006-07-01 |
| 1205863768 | Lourdes Rodriguez | Occupational Therapist | 857 Center Court #d, Shorewood, IL 60431 | 2006-06-28 |
| 1578112397 | Maureen Rice | Occupational Therapist | 850 Brookforest Ave, Shorewood, IL 60404-8513 | 2019-09-04 |
| 1588158695 | Tondalaya M Brainard | Occupational Therapist | 700 W Jefferson St, Shorewood, IL 60404 | 2018-06-21 |
| Find all providers in SHOREWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.