Active NPI
Susan Hartill, COTA
- Pediatric Occupational Therapist
- Downers Grove, IL
National Provider Identifier
1124284666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 057002025
- Practice address
- 1048 Ogden Ave
Suite 130
Downers Grove, IL 60515-2894 - Phone
- (630) 810-1200
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 057002025 | IL | Primary |
Addresses
Primary practice location
1048 Ogden Ave
Suite 130
Downers Grove, IL 60515-2894
Mailing address
1048 Ogden Ave
Suite 130
Downers Grove, IL 60515-2894
Phone (630) 810-1200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 057002025 | IL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1124284666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 OGDEN AVE",
"address_2": "SUITE 130",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152894",
"telephone_number": "630-810-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 OGDEN AVE",
"address_2": "SUITE 130",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152894",
"telephone_number": "630-810-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTILL",
"first_name": "SUSAN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "057002025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.