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

Kristen Middendorf, OTR/L

Individual provider Occupational Therapist · NPI 1376088948

Kristen Middendorf, OTR/L is an Occupational Therapist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
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

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2149
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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 056.009819 (IL)

Record details

NPI number1376088948
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESJanuary 5, 2017

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