Active NPI
Robert John Przybylak, OTR/L
- Occupational Therapist
- Oak Brook, IL
National Provider Identifier
1043581853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC002574L
- Practice address
- 1520 Kensington Rd
Suite 110
Oak Brook, IL 60523-2139 - Phone
- (630) 413-5800
- NPI assigned
- Jan 25, 2012
- Last updated
- Jan 25, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC002574L | PA | Primary |
| Occupational Therapist | 225X00000X | 012673-1 | NY | |
| Occupational Therapist | 225X00000X | 002927 | CT | |
| Occupational Therapist | 225X00000X | 004146 | OH |
Addresses
Primary practice location
1520 Kensington Rd
Suite 110
Oak Brook, IL 60523-2139
Mailing address
110 W 35TH St
Erie, PA 16508-2826
Phone (814) 392-4531
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 |
|---|---|---|---|
| 012673-1 | NY | MD | Occupational Therapist |
| 004146 | OH | MD | Occupational Therapist |
| OC002574L | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Rehab, Inc. | Occupational Therapist | Past | Accepting new patients |
| Covenant Alliance Rehab | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1043581853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 35TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082826",
"telephone_number": "814-392-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 KENSINGTON RD",
"address_2": "SUITE 110",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232139",
"telephone_number": "630-413-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRZYBYLAK",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC002574L",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012673-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "002927",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "004146",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
- Prime US Madical Inc
- Prodigy Home Care, Inc, (Entera Healthcare South)
- Prompt Care Diagnostics Inc
- Prorehab PC (Athletico Physical Therapy)
- Marianne Protess, LCSW
- Psychealth Services, Inc.
- Psychiatry Physicians Group LLC
- Psychopharmacology Clinics of America, S.C.
- Pulmonary, Critical Care & Sleep Associates
- Anam Qadri, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.