OrganizationActive
Skills 4 Life OT, LLC
NPI 1164088225 · Occupational Therapist · Mount Vernon, IL
Provider details
- NPI number
- 1164088225
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Nancy Simmons, Occupational Therapist(618) 214-0371
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2020 Broadway St Apt 1
Mount Vernon, IL 62864-2963
Phone: (618) 214-0371
Street-level locationGet directions
Mailing address
43 Woods Ln
Centralia, IL 62801-6239
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2019-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.