KEVIN J SCHROCK (NPI# 1255482543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255482543 |
| Entity Type | Individual |
| Full Name | KEVIN J SCHROCK |
| Credential | O. T. |
| Practice Address |
2338 W Sud Pkwy Ste 3100 Peoria IL 61615-7483 |
| Mailing Address |
2338 W Sud Pkwy Suite 3100 Peoria IL 61615-7483 |
| Practice Telephone | 3096939189 |
| Practice Fax Number | 3096939946 |
| Mailing Telephone | 3096939189 |
| Mailing Fax Number | 3096939946 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056005963 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | P01030410 | 01 |
| Street Address |
2338 W SUD PKWY STE 3100 |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-7483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689661795 | Heartland Home Health Care | Pharmacy | 2338 W Sud Pkwy, Peoria, IL 61615-7482 | 2005-10-04 |
| 1073887527 | David Akerele | Pediatrics | 2338 W Sud Pkwy, Suite 2200, Peoria, IL 61615-7483 | 2012-03-01 |
| 1922386044 | Marissa L Ulm | Speech-Language Pathologist | 2338 W Sud Pkwy, Suite 3100, Peoria, IL 61615-7482 | 2011-07-22 |
| 1952452013 | Cynthia J Rankin | Physical Therapist | 2338 W Sud Pkwy, Suite 3100, Peoria, IL 61615-7482 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1295340214 | Rebecca Lange | Occupational Therapist | 9638 W Butler Dr, Peoria, AZ 85345-7711 | 2020-09-15 |
| 1790255719 | Ayasha Thompson | Occupational Therapist | 3614 N Rochelle Ln, Peoria, IL 61604-1039 | 2018-12-03 |
| 1689143075 | Kathryn Ayers | Occupational Therapist | 4214 W Carrousel Ln, Peoria, IL 61615-2843 | 2018-11-15 |
| 1477056208 | Meghan Digiacomo | Occupational Therapist | 27212 N 81st Ln, Peoria, AZ 85383-6286 | 2018-03-18 |
| 1952826844 | Wendi Mcdowell | Occupational Therapist | 29752 N 121st Ave, Peoria, AZ 85383-3493 | 2017-08-11 |
| 1023559978 | Colleen James | Occupational Therapist | 6619 N Mount Hawley Rd, Peoria, IL 61614-3021 | 2017-03-12 |
| 1760838494 | Eva Tarce Counsil | Occupational Therapist | 10427 N North Forest Trl, Peoria, IL 61615-1306 | 2016-05-12 |
| 1891171047 | Rock Valley Physical Therapy Center | Occupational Therapist | 5401 N Knoxville Ave Ste 107, Peoria, IL 61614-5093 | 2015-08-10 |
| 1790125631 | Sue Ann Slusher | Occupational Therapist | 4302 W Middle Rd, Peoria, IL 61605-1031 | 2013-06-25 |
| Find all providers in PEORIA | ||||
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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.