Ms Kellie Tennille Thomas, OTR/L is a
Occupational Therapist based in Glenwood, Illinois. Ms Kellie Tennille Thomas is licensed to practice in Illinois (license number 056007647) and her current practice location is
1106 W Iowa St, Glenwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 906-4172.
NPI number for Ms Kellie Tennille Thomas is 1336463835 and her current mailing address is 1106 W Iowa St, Glenwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336463835.
Healthcare Provider's Profile
| Full Name | Ms Kellie Tennille Thomas |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1106 W Iowa St, Glenwood, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336463835
- Provider Enumeration Date: 03/26/2010
- Last Update Date: 12/18/2025
Medical Identifiers
Medical identifiers for Ms Kellie Tennille Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336463835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 056007647 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kellie Tennille Thomas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Kellie Tennille Thomas, OTR/L 1106 W Iowa St, Glenwood, IL 60425-1025 Ph: (708) 906-4172 | Ms Kellie Tennille Thomas, OTR/L 1106 W Iowa St, Glenwood, IL 60425-1025 Ph: (708) 906-4172 |
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