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

Individual provider Occupational Therapist · NPI 1932153210

Kimberly Dawn Rubenacker, OT is an Occupational Therapist in Private Practice in Mount Vernon, Illinois. Qualified in 2002, 24 years ago. Practices with Orthopaedic Center of Southern Illinois, Ltd, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone: (618) 242-3778
Fax: (618) 242-2551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056006678 (IL)

Record details

NPI number1932153210
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESMarch 16, 2010
Mailing address4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Orthopaedic Center Of Southern Illinois, Ltd — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon