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OT Assistants

Faith Marie Basolo

OT Assistant · Carterville, IL
License verifiedEarly Intervention · 0–3NPI on fileDisciplinary record

Verified record

Source: Illinois IDFPR license registry + NPPES. High trust.

Profession
OT Assistant
IL license
057003132 — ACTIVE
Disciplinary record
On record — see detail below
NPI
1760835151 · matched by license
Practice city
Carterville
Pediatric
Yes — high confidence

Illinois Early Intervention

Holds an active credential in the Illinois Early Intervention program — the state system that serves children birth to age 3 with developmental delays or disabilities. Source: Provider Connections registry (Western Illinois University, for IDHS / IL Dept. of Early Childhood).

EI credential(s)
Certified Occupational Therapy Assistant (Full)
Experience
178 lifetime EI service hours · credentialed ~2 yr
Evaluations & assessments
Provides direct EI services
Areas served
Metro East (St. Louis) (CFC 21) · Centralia / Mt. Vernon (CFC 22) · Southern tip (Carbondale) (CFC 24)
EI credential ID
FB93861009A

Need this provider for an EI plan, or want to add a provider to your child's team? Browse all Early Intervention providers

IDFPR disciplinary record · 1 action on record

The Illinois Dept. of Financial & Professional Regulation (IDFPR) maintains a public record of disciplinary actions on professional licenses. The detail below is reproduced verbatim from the IDFPR licensing dataset — it is not a characterization by PedsList.

ProbationJul 16, 2025· IDFPR case 2022006482
occupational therapist license shall be placed on probation for one year as a result of false charting of occupational therapy treatment records.

Source: IDFPR license lookup · dataset data.illinois.gov / pzzh-kp68. Some actions are administrative (e.g. continuing-education or renewal lapses) and don't indicate patient harm; where wording reads "allegedly," it reflects allegations as recorded by IDFPR, not by itself a current finding of wrongdoing.

Affiliated clinics

Where this provider practices. Services & insurance live on each clinic's page.

No clinic affiliation on file — provider has not provided attestation.

About this provider

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Faith Marie Basolo
OT Assistant
License verified against IDFPR
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