Active NPI
Renee Lee Emery, MS, OTR/L
- Occupational Therapist
- Libertyville, IL
National Provider Identifier
1053938605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056008633
- Practice address
- 14595 W Rockland Rd
Libertyville, IL 60048-9700 - Phone
- (224) 504-0635
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 056008633 | IL | Primary |
Addresses
Primary practice location
14595 W Rockland Rd
Libertyville, IL 60048-9700
Mailing address
640 Byron CT
Deerfield, IL 60015-4439
Phone (608) 957-2989
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056008633 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1053938605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 BYRON CT",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154439",
"telephone_number": "608-957-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14595 W ROCKLAND RD",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600489700",
"telephone_number": "224-504-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "RENEE",
"middle_name": "LEE",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056008633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
- Vinise Elackattu, PA
- Elisabeth Av Desapereira,MD,LTD
- Russell Elleven, DMIN, EDD
- George Bernard Elvove, M.D.
- Emergency Surgical Services of Lake County LLC
- Encompass Health Rehabilitation Hospital of Libertyville, LLC
- Lauren Engert, SLP
- ENT Consultants of Lake County
- Adam L Escobedo, APRN
- Alex Jose Escobedo, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.