Timothy McMullen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013337 Issued in IL

Practice address

9108 S 53Rd Ave
Oak Lawn, IL 60453-1665

Phone

(708) 595-9916

NPI assigned

Apr 7, 2020

Last updated

Apr 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1073142352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 S 53RD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531665",
            "telephone_number": "708-595-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 S 53RD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531665",
            "telephone_number": "708-595-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Erin McMahon, D.O.
• Kathleen Rose McManus
• Michele McMaster, DPT
• Kristen Nelson McMillan, M.D.
• Talia M McMullen
• Sarah Ann McNamara
• MD Orthotic and Prosthetic Laboratory, Inc
• MD Pediatric Center
• Cynthia Jane Mears, DO
• Peter Mechtler, MD, MS

• Occupational Therapist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.