Active NPI
Katherine Ellen Jones, OT
- Physical Rehabilitation Occupational Therapist
- Sycamore, IL
National Provider Identifier
1003327172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 056012167
- Practice address
- 1513 Dekalb Ave
Sycamore, IL 60178-2703 - Phone
- (815) 758-0000
- Fax
- (815) 991-9484
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 056012167 | IL | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 056012167 | IL | Primary |
Addresses
Primary practice location
1513 Dekalb Ave
Sycamore, IL 60178-2703
Mailing address
1952 Aberdeen CT
Sycamore, IL 60178-3175
Phone (815) 758-0000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1003327172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 ABERDEEN CT",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783175",
"telephone_number": "815-758-0000",
"fax_number": "815-748-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 DEKALB AVE",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601782703",
"telephone_number": "815-758-0000",
"fax_number": "815-991-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KATHERINE",
"middle_name": "ELLEN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IL",
"license": "056012167",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IL",
"license": "056012167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.