Active NPI
Brittney Lynn Coscomb
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1073251740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.014887
- Practice address
- 2437 N Southport Ave
Chicago, IL 60614-2060 - Phone
- (773) 472-8400
- NPI assigned
- May 23, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.014887 | IL | Primary |
Addresses
Primary practice location
2437 N Southport Ave
Chicago, IL 60614-2060
Mailing address
4148 W Cornelia Ave # 2
Chicago, IL 60641-3918
Phone (702) 202-8079
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1073251740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4148 W CORNELIA AVE # 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606413918",
"telephone_number": "702-202-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2437 N SOUTHPORT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142060",
"telephone_number": "773-472-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSCOMB",
"first_name": "BRITTNEY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.014887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.