KATELYN ANN WHITE OTR/L
NPI 1124847520
Occupational Therapist in Bloomington, IL

Active since October 03, 2024Accepts Medicare Assignment
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704(309) 608-5100 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katelyn Ann White Otr/l NPPES

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

KATELYN ANN WHITE OTR/L (NPI 1124847520) is an individual occupational therapist in Bloomington, Illinois, licensed in Illinois (056011136) and active in the NPI registry since October 2024. She maintains a secondary practice location in Bloomington and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124847520
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKATELYN ANN WHITECredential: OTR/L
Location Address1111 TRINITY LN STE 111Bloomington, IL 61704-8112
Mailing Address1170 Lynx LnNormal, IL 61761-9389 · (309) 310-3931
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 3, 2024
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1124847520 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 · 056011136
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.
1111 TRINITY LN STE 111, Bloomington, IL 61704

Secondary Practice Location 1

Location 13024 E Empire StBloomington, IL 61704-5402 · Phone (309) 556-7900 · Fax (309) 556-7928

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn Ann White Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547799728
PECOS Enrollment IDI20250203001510

Medicare Billing Reassignments

2

Medicare enrollment records show Katelyn White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Podiatrist (Foot & Ankle Surgery)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Durable Medical Equipment & Medical Supplies
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physician Assistant
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Orthopaedic Surgery (Hand Surgery)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Family Medicine (Sports Medicine)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704

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 Katelyn White's NPI number?

The NPI number for Katelyn White is 1124847520. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Katelyn White located?

Katelyn White practices at 1111 Trinity Ln Ste 111, Bloomington, IL 61704. The listed phone number is (309) 608-5100.

What is Katelyn White's specialty?

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

Is Katelyn White enrolled in Medicare?

Yes. Katelyn White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katelyn White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn White reassigns Medicare benefits to 2 organizations: Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katelyn White was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.