BRENT A PANNO (NPI# 1063890879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063890879 |
| Entity Type | Individual |
| Full Name | BRENT A PANNO |
| Credential | OT |
| Practice Address |
800 Des Plaines Ave Forest Park IL 60130-2035 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 7083662442 |
| Practice Fax Number | 7083660179 |
| Mailing Telephone | 6302962222 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.010064 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
800 DES PLAINES AVE |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538119870 | Michael Edward Keenum | Physical Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2006-05-10 |
| 1558761882 | Jennifer Elgin | Specialist/Technologist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2014-08-22 |
| 1528365103 | Julie Lambe | Physical Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2011-02-17 |
| 1972804771 | Jamie M Pautsch | Occupational Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2010-11-10 |
| 1891007480 | Christopher L Olsen | Physical Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2010-07-12 |
| 1912188475 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2007-11-26 |
| 1295935062 | Jennifer Marie Theisen | Physical Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2007-07-20 |
| 1942379110 | Ortho-sport, Inc. | Physical Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2006-11-06 |
| 1326092685 | David Gerard Kleinmeyer | Physical Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2006-05-20 |
| 1558313486 | Karen L. Schwartz | Occupational Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| 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 |
|---|---|---|---|---|
| 1912478728 | Motion Pt Group Georgia LLC | Occupational Therapist | 5000 Governors Dr, Forest Park, GA 30297-6138 | 2018-12-06 |
| 1548822638 | Heather Rene Urban | Occupational Therapist | 7421 Madison St, Forest Park, IL 60130-1575 | 2019-06-28 |
| 1972804771 | Jamie M Pautsch | Occupational Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2010-11-10 |
| 1558313486 | Karen L. Schwartz | Occupational Therapist | 800 Des Plaines Ave, Forest Park, IL 60130-2035 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
| 1912506247 | Elizabeth L Hadhazy | Occupational Therapist | 5 W Boulder Ct Apt A, Palos Hills, IL 60465-2347 | 2020-10-19 |
| 1952909343 | Samantha E Grimm | Occupational Therapist | 1651 Amaryllis Dr, Romeoville, IL 60446-5131 | 2020-10-16 |
| 1467050708 | Dpt Holdings LLC | Occupational Therapist | 417 E Il Route 173 Unit 101, Antioch, IL 60002-9407 | 2020-10-09 |
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1154928141 | Raymund Espiritu | Occupational Therapist | 559 W Millers Rd, Des Plaines, IL 60016-2674 | 2020-10-03 |
| 1720695158 | Christine Baumann | Occupational Therapist | 9421 Burlington Ave Apt 1n, Brookfield, IL 60513-1868 | 2020-09-29 |
| 1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
| 1518573260 | Kaila Ann Lange | Occupational Therapist | 4450 48th St Ct, Rock Island, IL 61202 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
Please comment or provide details below to improve the information on BRENT A PANNO.
| 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.