Active NPI
Mary R Block, M.S., O.T.R.
- Mechanotherapist
- Lake Zurich, IL
National Provider Identifier
1093919441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 056005720
- Practice address
- 23527 N East Rd
Lake Zurich, IL 60047-8816 - Phone
- (847) 438-0993
- Fax
- (847) 438-1234
- NPI assigned
- Jun 11, 2007
- Last updated
- Jun 28, 2012
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 056005720 | IL | Primary |
Addresses
Primary practice location
23527 N East Rd
Lake Zurich, IL 60047-8816
Mailing address
23527 N East Rd
Lake Zurich, IL 60047-8816
Phone (847) 438-0993
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056005720 | IL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1093919441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23527 N EAST RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600478816",
"telephone_number": "847-438-0993",
"fax_number": "847-438-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23527 N EAST RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600478816",
"telephone_number": "847-438-0993",
"fax_number": "847-438-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "MARY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "M.S., O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "IL",
"license": "056005720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.