| Tondalaya M Brainard, MSOT | |
|
4817 E Rockton Rd Unit 1100, Roscoe, IL 61073-9069 | |
| (815) 704-0104 | |
| (815) 491-8208 |
| Full Name | Tondalaya M Brainard |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 8 Years |
| Location | 4817 E Rockton Rd Unit 1100, Roscoe, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588158695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056012549 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Orthopaedic Center S C | 8022917715 | 42 |
| Provider Name | Midwest Orthopaedic Center S C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710938006 PECOS PAC ID: 8022917715 Enrollment ID: O20040106000226 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Tondalaya M Brainard, MSOT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Tondalaya M Brainard, MSOT 4817 E Rockton Rd Unit 1100, Roscoe, IL 61073-9069 Ph: (815) 704-0104 |
Stephanie A. Krueger, OTR, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4817 E Rockton Rd Ste 1100, Roscoe, IL 61073 Phone: 815-704-0104 Fax: 815-491-8208 | |
Nancy J. Houghton, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5003 Hononegah Rd, Roscoe, IL 61073 Phone: 815-623-3700 Fax: 815-623-3737 | |
Ms. Lisa Renee Barton, OTR/L CAPS Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6070 Dorothy Ln, Roscoe, IL 61073 Phone: 815-988-5526 | |
Jenna Kaneiss, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7447 Stacy Ct, Roscoe, IL 61073 Phone: 608-212-1794 |