DEEPIKA MEDAVARAM
NPI 1053567891
Occupational Therapy Assistant in Springfield, IL

Active since August 12, 2008
3400 W WASHINGTON ST, SPRINGFIELD, IL 62711(217) 787-9600 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deepika Medavaram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEPIKA MEDAVARAM (NPI 1053567891) is an individual occupational therapy assistant in Springfield, Illinois, licensed in Illinois (057001007) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1053567891
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameDEEPIKA MEDAVARAM
Location Address3400 W WASHINGTON STSpringfield, IL 62711-7917
Mailing Address3621 Brandonshire DrSpringfield, IL 62704-5554 · (217) 793-3185
Sole ProprietorNo
Enumeration DateAugust 12, 2008
NPI 1053567891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in IL · 057001007
Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

3400 W WASHINGTON ST, Springfield, IL 62711

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Speech-Language Pathologist
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Occupational Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Occupational Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Physical Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Physical Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Occupational Therapist
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Physical Therapist
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053567891, enumerated as an "individual" on August 12, 2008.

The provider is located at 3400 W WASHINGTON ST SPRINGFIELD, IL 62711 and the phone number is (217) 787-9600.

Occupational Therapy Assistant with taxonomy code 224Z00000X.