Kyle John Blievernicht, MOT
Kyle John Blievernicht, MOT is an Occupational Therapist in Private Practice in Glen Carbon, Illinois. Qualified in 2019, 7 years ago. Practices with Empowerme Rehabilitation Illinois LLC, a 367-clinician group and accepts Medicare assignment.
- Years since qualifying
- 7
- In the registry since
- 2019
Practice location Address checks out
4955 S State Route 159 Ste BGlen Carbon, IL 62034-1907
Phone: (618) 288-4677
Fax: (618) 288-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|
Record details
| NPI number | 1154970721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | September 6, 2019 |
| Last updated in NPPES | September 6, 2019 |
| Mailing address | 4955 S State Route 159 Ste B, Glen Carbon, IL 62034-1907 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Empowerme Rehabilitation Illinois Llc — 367 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Glen Carbon
-
Amber Bond
4215 S State Route 159, Glen Carbon, IL 62034-3267 · (800) 642-6099
-
Jonathan Thomas Burroughs
200 Brightly Way, Glen Carbon, IL 62034-3415 · (618) 305-9292
-
Emma Franklin, COTA/L
8 Trailridge Ln, Glen Carbon, IL 62034-1834 · (618) 792-8349
-
Jessica G Hyatt, OTR/LCHT
4955 S State Route 159 Ste B, Glen Carbon, IL 62034-1907 · (618) 288-4677