Mary O'Boyle, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013769 Issued in IL

Practice address

3130 Chatham Rd Ste a
Springfield, IL 62704-5379

Phone

(815) 725-9992

Fax

(847) 348-3706

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

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

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.

• Speech Tree Associates, LLC

  • Speech-Language Pathologist
  • Springfield, IL
  • NPI 1578794558

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1083225262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628005",
            "telephone_number": "815-725-9992",
            "fax_number": "847-348-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 CHATHAM RD STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045379",
            "telephone_number": "815-725-9992",
            "fax_number": "847-348-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BOYLE",
        "first_name": "MARY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Nutt, MD
• NXT Level Wellness, LLC
• Carly D. Nyobinda, PA
• Sharon-Rose Nyoni, MD
• Sydney Lee Nyquist, MD
• Amanda O'Brien, MD
• Joanne F O'Brien, FNP-BC
• Patrick O'Brien, CRNA
• Mary Lynn O'Connor
• William O'Connor, PT

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

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