IndividualActive
Dusty Kaesberg, COTA
NPI 1508019787 · Occupational Therapy Assistant · Red Bud, IL
Provider details
- NPI number
- 1508019787
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 057002965 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
11093 N Prairie Rd
Red Bud, IL 62278-4372
Phone: (618) 910-1382
Street-level locationGet directions
Mailing address
11093 N Prairie Rd
Red Bud, IL 62278-4372
Registry dates
- Enumerated
- 2008-10-31
- Last updated
- 2008-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.