Melanie A Eitenmiller, MOT OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.012284 Issued in IL

Practice address

1010 N Hooker St Ste 301
Chicago, IL 60642-4633

Phone

(312) 943-3600

Fax

(312) 943-3096

NPI assigned

Dec 12, 2017

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

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Orthopaedic Center S CGroup PAC ID 8022917715, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Orthopaedic Center S C

  • Specialist
  • Peoria, IL
  • NPI 1710938006
  Medicare reassignment Care Compare group NPD
• Icg Home Health Care

  • Home Health Agency
  • Chicago, IL
  • NPI 1922546050
  NPD (past)
• International Consulting Group, Inc

  • Home Health Agency
  • Chicago, IL
  • NPI 1174897144
  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1063927184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SEPTEMBER LN",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543043",
            "telephone_number": "309-613-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N HOOKER ST STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424633",
            "telephone_number": "312-943-3600",
            "fax_number": "312-943-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITENMILLER",
        "first_name": "MELANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MOT OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.012284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056.012284",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Ariel Eisenstein, LCSW
• Talia Horwitz Eisenstein, MD
• Audra K Eisin-Banazek, L.C.P.C
• Pfeffer J Eisin, M.A.,L.C.P.C.
• Shanelle Binggeli Eiswirth, ACNP
• Mariet Eivazi
• Caroline Mary Eizik, LCPC
• Zellessia S Ejalonibu, LPC
• Aslam Ejaz, M.D.
• Chukwudebelu Franklin Ejiogu

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.