Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anastasia Bormann Nethery, MSOT, OTR/L

Individual provider Occupational Therapist · NPI 1669366571

Anastasia Bormann Nethery, MSOT, OTR/L is an Occupational Therapist in Springfield, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

800 E Carpenter St
Springfield, IL 62769-1000
Phone: (217) 544-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4101 W Iles Ave, Springfield, IL 62711-7051 — (217) 793-9429

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056014101 (IL)

Record details

NPI number1669366571
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT , OTR/L
Sole proprietorNo
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

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