IndividualActive
Stephanie Walczak, COTA/L
NPI 1245402296 · Occupational Therapy Assistant · Henry, IL
Provider details
- NPI number
- 1245402296
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1650 Indiantown Rd
Henry, IL 61537-9227
Phone: (309) 364-3905
Fax: (309) 364-3567
Street-level locationGet directions
Mailing address
1650 Indiantown Rd
Henry, IL 61537-9227
Registry dates
- Enumerated
- 2008-03-31
- Last updated
- 2008-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.