Individual provider · Type 1 NPI

Anastasia Bormann Nethery, MSOT, OTR/L

Occupational Therapist · Springfield, IL

NPI number 1669366571 Active

Practice location

800 E Carpenter St
Springfield, IL 62769-1000

Mailing address

1810 Chesterfield Rd
Springfield, IL 62703-5207

Other practice locations

  • 4101 W Iles Ave, Springfield, IL 62711-7051 · (217) 793-9429

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056014101 (IL)

Occupational Therapist: 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…

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About NPI 1669366571

Anastasia Bormann Nethery, MSOT, OTR/L's National Provider Identifier is 1669366571, issued on Jun 5, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Springfield, IL. The record was last updated on Jun 5, 2025.