Individual provider Active NPI

Obiora Nnam

  • Occupational Therapist
  • Oak Brook, IL
National Provider Identifier
1063259869
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2 Yorkshire Woods
Oak Brook, IL 60523-1474
Phone
(630) 418-1316
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 Primary

Addresses

Primary practice location

2 Yorkshire Woods
Oak Brook, IL 60523-1474

Mailing address

2 Yorkshire Woods
Oak Brook, IL 60523-1474
Phone (630) 418-1316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001246 IL Practitioner - Occupational Therapist in Private Practice 2567964992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reinvent Health Inc.Group PAC ID 2264964477, 38 clinicians

Practice addresses (Care Compare)

Chicago, IL 60622
Phone (405) 821-6648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Reinvent Health Inc CurrentSince Oct 7, 2025 Accepting new patients

Organizations & group practices 3

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1063259869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 YORKSHIRE WOODS",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231474",
            "telephone_number": "630-418-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 YORKSHIRE WOODS",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231474",
            "telephone_number": "630-418-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAM",
        "first_name": "OBIORA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.