KYLE JOHN BLIEVERNICHT MOT
NPI 1154970721
Occupational Therapist in Glen Carbon, IL

Active since September 06, 2019Accepts Medicare Assignment
4955 S STATE ROUTE 159 STE B, GLEN CARBON, IL 62034(618) 288-4677(618) 288-4699 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle John Blievernicht Mot NPPES

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

KYLE JOHN BLIEVERNICHT MOT (NPI 1154970721) is an individual occupational therapist in Glen Carbon, Illinois and active in the NPI registry since September 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1154970721
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameKYLE JOHN BLIEVERNICHTCredential: MOT
Location Address4955 S STATE ROUTE 159 STE BGlen Carbon, IL 62034-1907
Mailing Address4955 S State Route 159 Ste BGlen Carbon, IL 62034-1907 · (618) 288-4677 · Fax (618) 288-4699
Fax(618) 288-4699
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 6, 2019
NPI 1154970721 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
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.
4955 S STATE ROUTE 159 STE B, Glen Carbon, IL 62034

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle John Blievernicht Mot 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 ID2668704057
PECOS Enrollment IDI20191105000965

Other Providers at the Same Location NPPES

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

Occupational Therapist
4955 S STATE ROUTE 159 STE B
GLEN CARBON, IL 62034

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 Kyle Blievernicht's NPI number?

The NPI number for Kyle Blievernicht is 1154970721. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Kyle Blievernicht located?

Kyle Blievernicht practices at 4955 S State Route 159 Ste B, Glen Carbon, IL 62034. The listed phone number is (618) 288-4677.

What is Kyle Blievernicht's specialty?

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

Is Kyle Blievernicht enrolled in Medicare?

Yes. Kyle Blievernicht 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.

When was this NPI record last updated?

The NPPES record for Kyle Blievernicht was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.