Lizette Herrera Quinones, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

56009487 Issued in IL

Practice address

1305 Maple Ave
Berwyn, IL 60402-1250

Phone

(708) 268-8679

Fax

(708) 689-4141

NPI assigned

Oct 6, 2011

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

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.

• Smart Moves Pediatrics

  • Developmental Disabilities Clinic/Center
  • North Riverside, IL
  • NPI 1750552972
  NPD (past)

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1144504242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MAPLE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021250",
            "telephone_number": "708-268-8679",
            "fax_number": "708-268-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MAPLE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021250",
            "telephone_number": "708-268-8679",
            "fax_number": "708-689-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "LIZETTE",
        "middle_name": "HERRERA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "56009487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulmonary and Critical Care Physicians PC
• Aditi Puri, MD
• Kimberly Pyle, MD
• Xiaoying Qiao, MD
• Tasha Quinn, M.ED., LCPC
• Mohammed Qureshi, M.D.
• Tuka Rachid
• Bruce Rachum, D.C.
• Rada Counseling PLLC
• Carolina Rada, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.