Kelli Lane Rode, | |
964 N 5th Ave, Building C, St Charles, IL 60174-1204 | |
(630) 484-4142 | |
Not Available |
Full Name | Kelli Lane Rode |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 964 N 5th Ave, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801103759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056.008241 (Illinois) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164620084 PECOS PAC ID: 2163339722 Enrollment ID: O20200204000475 |
Mailing Address | Practice Location Address |
---|---|
Kelli Lane Rode, 470 Chesterfield Ln, North Aurora, IL 60542-9105 Ph: () - | Kelli Lane Rode, 964 N 5th Ave, Building C, St Charles, IL 60174-1204 Ph: (630) 484-4142 |
Heather Sandall, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3815 E Main St Ste B, St Charles, IL 60174 Phone: 630-584-7530 Fax: 630-584-7762 | |
Mrs. Eileen Marie Thorp, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 State St, St Charles, IL 60174 Phone: 630-587-3777 | |
Neurobeat Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Tyler Rd, St Charles, IL 60174 Phone: 312-351-9675 | |
Kelsey Possley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3815 E Main St, Suite B, St Charles, IL 60174 Phone: 630-584-7530 | |
Integrated Occupational Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 549 S 13th St, St Charles, IL 60174 Phone: 630-400-3760 | |
Summer Smith, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1502 E Main St, St Charles, IL 60174 Phone: 630-797-5658 Fax: 630-797-5879 | |
Marissa Markham, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Tyler Rd Ste Q1, St Charles, IL 60174 Phone: 630-444-0077 |