Kim Fonner
NPI 1174748354 · Pediatric Occupational Therapist · Mattoon, IL
Kim Fonner is a Pediatric Occupational Therapist provider in Mattoon, IL (NPI 1174748354).
Provider details
- NPI number
- 1174748354
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 160-002514 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-14
- Last updated
- 2017-08-28
Frequently asked questions
- What is Kim Fonner's NPI number?
- Kim Fonner's National Provider Identifier (NPI) is 1174748354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Fonner's specialty?
- Kim Fonner is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kim Fonner located?
- Kim Fonner's practice location on file with NPPES is 3395 W Lake Paradise Rd, Mattoon, IL 61938-8969.
- What is Kim Fonner's phone number?
- The practice phone number listed in the NPPES registry for Kim Fonner is (217) 234-2327.
- Is Kim Fonner's NPI active?
- Yes — Kim Fonner's NPI (1174748354) is active in the NPPES registry as of the last update on 2017-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.