Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deepika Medavaram

Individual provider Occupational Therapy Assistant · NPI 1053567891

Deepika Medavaram is an Occupational Therapy Assistant in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

3400 W Washington St
Springfield, IL 62711-7917
Phone: (217) 787-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057001007 (IL)

Record details

NPI number1053567891
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2008
Last updated in NPPESAugust 12, 2008
Mailing address3621 Brandonshire Dr, Springfield, IL 62704-5554

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