Individual provider Active NPI

Tiffany S Norton, OT

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1013432111
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056012058 Issued in IL
Practice address
1901 S Calumet Ave Unit 2011
Chicago, IL 60616-6024
Phone
(810) 962-6582
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056012058 IL Primary

Addresses

Primary practice location

1901 S Calumet Ave Unit 2011
Chicago, IL 60616-6024

Mailing address

1901 S Calumet Ave Unit 2011
Chicago, IL 60616-6024
Phone (810) 962-6582

Other practice location 1

909 Davis St Ste 220
Evanston, IL 60201-3664
Phone (847) 733-7906

Other identifiers 2

IdentifierTypeStateIssuer
853956157OtherILPRIVATE INSURANCE
853956157MedicaidIL

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

LicenseStateTypeSpecialty
056012058ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1013432111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CALUMET AVE UNIT 2011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606166024",
            "telephone_number": "810-962-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CALUMET AVE UNIT 2011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606166024",
            "telephone_number": "810-962-6582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Davis St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013664",
            "country_code": "US",
            "telephone_number": "847-733-7906",
            "fax_number": "847-733-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTON",
        "first_name": "TIFFANY",
        "middle_name": "S",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "853956157",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853956157",
            "state": "IL"
        }
    ],
    "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 Dec 7, 2020; 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.