Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Katelyn Ann White , OTR, L

Occupational Therapist β€’ Bloomington, IL

Active NPI 1124847520 Individual Practitioner Female Practitioner
Practice location in NPPES

1111 Trinity Ln Ste 111
Bloomington, IL 617048112

Call 3096085100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1111 Trinity Ln Ste 111

Bloomington, IL 617048112

Telephone 3096085100
Organization at the Same NPPES Address or Phone
Carle West Physician Group Inc Facility NPI 1033866801

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bloomington, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katelyn White has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Bloomington and Illinois

29 active clinicians are listed under Occupational Therapist with a practice address in Bloomington, IL (5,858 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

3.4% of these 29 clinicians have the CMS telehealth indicator.

13.8% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-23
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES IL 056011136

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20250203001510

Enrollment State Jurisdiction

IL

PECOS Control ID

0547799728

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3024 E Empire St

Bloomington, IL 617045402

Phone: 3095567900

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Lauren Christie , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1285194282

Doctor of Podiatric Medicine

Bree Grabowski , PT

Physical Therapist

NPI 1881472538

Physical Therapist

Dr. Tyler Neal , DO

Orthopaedic Surgery

NPI 1336555994

Doctor of Osteopathic Medicine (D.O.)

Colton Steidinger , FNP-BC

Nurse Practitioner - Family

NPI 1952139941

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location January 23, 2025

Registered at 1111 TRINITY LN STE 111, BLOOMINGTON, IL 617048112 (Tel: 3096085100)

βœ…
NPI Profile Active October 03, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 03, 2024

Registered at 3024 E EMPIRE ST, BLOOMINGTON, IL 617045402 (Tel: 3095567900)

πŸ“
Business Mailing Address (Initial Record) October 03, 2024

Registered at 1170 LYNX LN, NORMAL, IL 617619389 (Tel: 3093103931)

πŸ‘€
Provider Name / Credentials (Initial Record) October 03, 2024

Recorded as KATELYN WHITE, OTR/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2024

Occupational Therapist (license number reported to NPPES: IL 056011136)

🟒
Initial NPI Registration & Enumeration October 03, 2024

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1124847520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2024
Last Update: January 23, 2025
Sole Proprietor: No

Other Occupational Therapists in Bloomington

Healthcare providers in Bloomington

Mailing Address

1170 Lynx Ln

Normal, IL 617619389

Phone: 3093103931

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.