Active NPI
Jasmine Brown
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1124689849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056012759
- Practice address
- 8218 S California Ave
Chicago, IL 60652-3406 - Phone
- (773) 943-1100
- NPI assigned
- Jun 24, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056012759 | IL | Primary |
Addresses
Primary practice location
8218 S California Ave
Chicago, IL 60652-3406
Mailing address
8218 S California Ave
Chicago, IL 60652-3406
Other practice location 1
5102 Museum Dr
Oak Lawn, IL 60453-7005
Phone (224) 572-8739
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 |
|---|---|---|---|
| 056012759 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1124689849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8218 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523406",
"telephone_number": "773-943-1100"
}
],
"practiceLocations": [
{
"address_1": "5102 Museum Dr",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604537005",
"country_code": "US",
"telephone_number": "224-572-8739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JASMINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056012759",
"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 Dec 17, 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.