Active NPI
Robin Poston, OT
- Occupational Therapist
- Normal, IL
National Provider Identifier
1003004789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056-003678
- Practice address
- 2200 Fort Jesse Rd
Suite 250
Normal, IL 61761-6286 - Phone
- (309) 454-1616
- Fax
- (309) 454-5167
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-003678 | IL | Primary |
Addresses
Primary practice location
2200 Fort Jesse Rd
Suite 250
Normal, IL 61761-6286
Mailing address
2502 E Empire St
Suite 250
Bloomington, IL 61704-3738
Phone (309) 454-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-003678 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sports Medicine Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Normal, IL
- NPI 1972611044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1003004789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 E EMPIRE ST",
"address_2": "SUITE 250",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043738",
"telephone_number": "309-454-1616",
"fax_number": "309-454-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 FORT JESSE RD",
"address_2": "SUITE 250",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616286",
"telephone_number": "309-454-1616",
"fax_number": "309-454-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSTON",
"first_name": "ROBIN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-003678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.