Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Audrey Mullen , OTR, L

Occupational Therapist β€’ Freeport, IL

Active NPI 1871015545 Individual Practitioner Female Practitioner
Practice location in NPPES

1010 Fairway Dr
Freeport, IL 610326600

Call 8155996340 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

1010 Fairway Dr

Freeport, IL 610326600

Telephone 8155996340
Organization at the Same NPPES Address or Phone
Jane Addams Community Mental Health Center Facility NPI 1336623453

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

NPI first issued

2017

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

Compared with the same specialty in Freeport and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Freeport

0% of these 18 clinicians have the CMS telehealth indicator.

5.6% of these 18 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: 2023-03-15
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES IL 056008765

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.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES SC 4432

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

Clinicians Sharing This Practice Address or Phone

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

3 listed
Madison Pickard , PT

Physical Therapist

NPI 1003334905

Physical Therapist

Tiffany Truckenmiller , PT

Physical Therapist

NPI 1225464530

Physical Therapist

Whittney Zumdahl , MPT

Physical Therapist

NPI 1346438306

Master of Physical Therapy

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location March 15, 2023

Registered at 1010 FAIRWAY DR, FREEPORT, IL 610326600 (Tel: 8155996340)

πŸ“
Updated Business Mailing Address March 15, 2023

Registered at 31488 MIDDLE CREEK RD, LANARK, IL 610469039 (Tel: 8154992045)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Occupational Therapist (license number reported to NPPES: IL 056008765)

βœ…
NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 13, 2017

Registered at 350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 298609251 (Tel: 8032784272)

πŸ“
Business Mailing Address (Initial Record) July 13, 2017

Registered at 211 LANGFUHR WAY, NORTH AUGUSTA, SC 29860 (Tel: 8154992045)

πŸ‘€
Provider Name / Credentials (Initial Record) July 13, 2017

Recorded as AUDREY MULLEN, OTR/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Occupational Therapist (license number reported to NPPES: SC 4432)

🟒
Initial NPI Registration & Enumeration July 13, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1871015545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2017
Last Update: March 15, 2023
Sole Proprietor: Yes

Mailing Address

31488 Middle Creek Rd

Lanark, IL 610469039

Phone: 8154992045

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.