Meghan M Jennings, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

05600005991 Issued in IL

Practice address

9556 S Springfield Ave
Evergreen Park, IL 60805-2013

Phone

(773) 259-1272

Fax

(773) 233-9950

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063526598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9556 S SPRINGFIELD AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052013",
            "telephone_number": "773-259-1272",
            "fax_number": "773-233-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9556 S SPRINGFIELD AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052013",
            "telephone_number": "773-259-1272",
            "fax_number": "773-233-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MEGHAN",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "05600005991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "0001634912",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.