| Kyle John Blievernicht, MOT | |
|
4955 S State Route 159 Ste B, Glen Carbon, IL 62034-1907 | |
| (618) 288-4677 | |
| (618) 288-4699 |
| Full Name | Kyle John Blievernicht |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 7 Years |
| Location | 4955 S State Route 159 Ste B, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154970721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
| Provider Name | Apex Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20040518000891 |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle John Blievernicht, MOT 4955 S State Route 159 Ste B, Glen Carbon, IL 62034-1907 Ph: (618) 288-4677 | Kyle John Blievernicht, MOT 4955 S State Route 159 Ste B, Glen Carbon, IL 62034-1907 Ph: (618) 288-4677 |
Amber Bond, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4215 S State Route 159, Glen Carbon, IL 62034 Phone: 800-642-6099 | |
Emma Franklin, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Trailridge Ln, Glen Carbon, IL 62034 Phone: 618-792-8349 | |
Ms. Robyn Rae Somraty, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 486 Glen Crossing Rd, Glen Carbon, IL 62034 Phone: 618-977-4683 Fax: 314-754-9528 | |
Jessica G Hyatt, OTR/L CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4955 S State Route 159 Ste B, Glen Carbon, IL 62034 Phone: 618-288-4677 | |
Kaleidoscope Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 486 Glen Crossing Rd, Glen Carbon, IL 62034 Phone: 618-977-4683 | |
Donna Blood, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 |