Active NPI
Marzanna Wroblewska, COTA
- Occupational Therapy Assistant
- Chicago, IL
National Provider Identifier
1063536464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057001709
- Practice address
- 1620 N la Salle Dr
Chicago, IL 60614-6005 - Phone
- (312) 943-3600
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057001709 | IL | Primary |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
1620 N la Salle Dr
Chicago, IL 60614-6005
Mailing address
1620 N la Salle Dr
Chicago, IL 60614-6005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103034 | Medicaid | IL |
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 |
|---|---|---|---|
| 057001709 | IL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Through a Child's Eyes | Past | Accepting new patients |
Organizations & group practices 1
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1063536464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N LA SALLE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N LA SALLE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146005",
"telephone_number": "312-943-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WROBLEWSKA",
"first_name": "MARZANNA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057001709",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103034",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
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- Write Now OT Services
- Markus P Wrobel
- Anna Emily Wroble, APN
- Stephanie Wroblewski, LCSW
- Zachary Wrona
- Anna Wruck, LPC
- Laura Renee Wrzesinski, LMFT
- WS Dental Chicago, PLLC (Grace Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.