Maureen E Donovan, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056005464 Issued in IL

Practice address

525 S Sweetbriar Dr # C
Chillicothe, IL 61523-2229

Phone

(309) 274-6314

Fax

(309) 274-3555

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2009.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1003967340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S SWEETBRIAR DR # C",
            "city": "CHILLICOTHE",
            "state": "IL",
            "postal_code": "615232229",
            "telephone_number": "309-274-6314",
            "fax_number": "309-274-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S SWEETBRIAR DR # C",
            "city": "CHILLICOTHE",
            "state": "IL",
            "postal_code": "615232229",
            "telephone_number": "309-274-6314",
            "fax_number": "309-274-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Chillicothe, IL
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.