Individual provider Active NPI

Rachelle Renee Halbrook, MS, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1053886523
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.012587 Issued in IL
Practice address
1422 W Willow St Ste 100
Chicago, IL 60642-8976
Phone
(773) 980-0300
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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 056.012587 IL Primary

Addresses

Primary practice location

1422 W Willow St Ste 100
Chicago, IL 60642-8976

Mailing address

1735 W Diversey Pkwy Apt 321
Chicago, IL 60614-9386
Phone (636) 541-2126

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056.012587ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1053886523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 W DIVERSEY PKWY APT 321",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149386",
            "telephone_number": "636-541-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W WILLOW ST STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606428976",
            "telephone_number": "773-980-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBROOK",
        "first_name": "RACHELLE",
        "middle_name": "RENEE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.012587",
            "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 Oct 10, 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.

Verify at the official NPI Registry.