Active NPI
Deborah A Myszkowski, OTR
- Pediatric Occupational Therapist
- Geneva, IL
National Provider Identifier
1063550127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056-005762
- Practice address
- 38W561 Callighan PL
Geneva, IL 60134-6064 - Phone
- (630) 202-5502
- Fax
- (630) 202-5502
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056-005762 | IL | Primary |
Addresses
Primary practice location
38W561 Callighan PL
Geneva, IL 60134-6064
Mailing address
38W561 Callighan PL
Geneva, IL 60134-6064
Phone (630) 202-5502
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 |
|---|---|---|---|
| 056-005762 | IL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1063550127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38W561 CALLIGHAN PL",
"city": "GENEVA",
"state": "IL",
"postal_code": "601346064",
"telephone_number": "630-202-5502",
"fax_number": "630-202-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38W561 CALLIGHAN PL",
"city": "GENEVA",
"state": "IL",
"postal_code": "601346064",
"telephone_number": "630-202-5502",
"fax_number": "630-202-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYSZKOWSKI",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056-005762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.