MRS. COLLEEN KOONTZ
NPI 1093693566
Occupational Therapist in Shorewood, IL

Active since August 23, 2025
860 CENTER CT, SHOREWOOD, IL 60404(815) 773-9000(815) 773-9001 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Colleen Koontz NPPES

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

MRS. COLLEEN KOONTZ (NPI 1093693566) is an individual occupational therapist in Shorewood, Illinois, licensed in Illinois (056004413) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1093693566
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. COLLEEN KOONTZ
Location Address860 CENTER CTShorewood, IL 60404-8534
Mailing Address518 Sierra Rose CirJoliet, IL 60431-4909 · (815) 351-2522
Fax(815) 773-9001
Sole ProprietorNo
Enumeration DateAugust 23, 2025
NPPES CertifiedAugust 23, 2025
NPI 1093693566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IL · 056004413
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.
860 CENTER CT, Shorewood, IL 60404

Other Names 1

Former Name (1)Ms. Colleen Petak

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Koontz's NPI number?

The NPI number for Colleen Koontz is 1093693566. It was assigned to this individual provider in the NPPES registry on August 23, 2025. The provider is also known as Ms. Colleen Petak.

Where is Colleen Koontz located?

Colleen Koontz practices at 860 Center Ct, Shorewood, IL 60404. The listed phone number is (815) 773-9000.

What is Colleen Koontz's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Colleen Koontz was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.