Pediatric TherapyFinder

Kim Fonner

Pediatric occupational therapist in Mattoon, IL

NPI activeLicense # listed (IL)

Call (217) 234-2327Send a messageMap ↗

Public-record details

Address
3395 W Lake Paradise Rd, Mattoon, IL 61938
Phone
(217) 234-2327
Listed under
Pediatric occupational therapy
NPI
1174748354
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Occupational Therapist, Pediatrics (225XP0200X)
License number on NPI record
056008777 (IL)
NPI first issued
Apr 14, 2007
NPI record last updated
Aug 28, 2017

NPI 1174748354 is active in the federal NPPES registry (CMS); license 056008777 (IL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric occupational therapists help children with fine motor skills, self-care, sensory processing, handwriting and feeding.

View NPI 1174748354 in the official registry ↗

Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.

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