Individual provider Active NPI

Holly Witvoet

  • Occupational Therapy Assistant
  • Chicago, IL
National Provider Identifier
1013378645
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
057.003553 Issued in IL
Practice address
6725 N Sheridan Rd Apt 515
Chicago, IL 60626-4552
Phone
(312) 978-3978
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.003553 IL Primary

Addresses

Primary practice location

6725 N Sheridan Rd Apt 515
Chicago, IL 60626-4552

Mailing address

6725 N Sheridan Rd Apt 515
Chicago, IL 60626-4552
Phone (312) 978-3978

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
057.003553ILMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1013378645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 N SHERIDAN RD APT 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264552",
            "telephone_number": "312-978-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 N SHERIDAN RD APT 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264552",
            "telephone_number": "312-978-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITVOET",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.003553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.