Active NPI
Elizabeth Momeyer, MOT, OTR/L
- Occupational Therapist
- Cicero, IL
National Provider Identifier
1013484138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056012280
- Practice address
- 5330 W 35TH St
Cicero, IL 60804-4409 - Phone
- (708) 982-4500
- NPI assigned
- Oct 26, 2018
- Sex
- Male
- 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 | 056012280 | IL | Primary |
Addresses
Primary practice location
5330 W 35TH St
Cicero, IL 60804-4409
Mailing address
910 W Lawrence Ave Apt 408
Chicago, IL 60640-4237
Phone (412) 496-1583
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056012280 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1013484138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 W LAWRENCE AVE APT 408",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404237",
"telephone_number": "412-496-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 W 35TH ST",
"city": "CICERO",
"state": "IL",
"postal_code": "608044409",
"telephone_number": "708-982-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMEYER",
"first_name": "ELIZABETH",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056012280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.