Individual provider Active NPI

Jessica Leigh Flakus, MOT, OTR/L

  • Occupational Therapist
  • Hinsdale, IL
National Provider Identifier
1114792025
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.015634 Issued in IL
Practice address
522 W Chestnut St Ste Hinsdale
Hinsdale, IL 60521-3171
Phone
(331) 271-5070
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.015634 IL Primary

Addresses

Primary practice location

522 W Chestnut St Ste Hinsdale
Hinsdale, IL 60521-3171

Mailing address

522 W Chestnut St Ste Ga
Hinsdale, IL 60521-3174

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

State licenses

LicenseStateTypeSpecialty
056.015634ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1114792025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W CHESTNUT ST STE GA",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W CHESTNUT ST STE HINSDALE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213171",
            "telephone_number": "331-271-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKUS",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.