Active NPI
Jane Marie Flynn, OTR/L
- Occupational Therapist
- Elgin, IL
National Provider Identifier
1003851080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102950
- Practice address
- 750 Fletcher Dr Ste 304
Elgin, IL 60123-4756 - Phone
- (847) 888-3131
- Fax
- (847) 888-3359
- NPI assigned
- Jun 17, 2006
- 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 | 102950 | MN | Primary |
Addresses
Primary practice location
750 Fletcher Dr Ste 304
Elgin, IL 60123-4756
Mailing address
750 Fletcher Dr Ste 304
Elgin, IL 60123-4756
Phone (847) 888-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081230000048 | IL | Practitioner - Occupational Therapist in Private Practice | 5395739544 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
750 Flecther Dr
Suite 304
Elgin, IL 60123-4756
750 Fletcher Dr
Elgin, IL 60123-4703
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": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1003851080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 FLETCHER DR STE 304",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234756",
"telephone_number": "847-888-3131",
"fax_number": "847-888-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 FLETCHER DR STE 304",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234756",
"telephone_number": "847-888-3131",
"fax_number": "847-888-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "JANE",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.