Gretchen C Shissler, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.009601 Issued in IL

Practice address

25 North Winfield Rd
Winfield, IL 60190

Phone

(630) 933-4442

NPI assigned

Jul 17, 2012

Last updated

Jul 17, 2012By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forest Academy

  • Physical Medicine & Rehabilitation Physician
  • Lafayette, IN
  • NPI 1831873801
  NPD Authorized official

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1144575036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22W378 TAMARACK DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377410",
            "telephone_number": "630-217-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NORTH WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "630-933-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISSLER",
        "first_name": "GRETCHEN",
        "middle_name": "C",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gautam Sharma, M.D.
• Sonia Sharma, D.O.
• Joseph Francis Shaw
• Ramananda M Shetty, MD
• Janelle Shinhoster, PSY.D.
• Sittanur Shoush, M.D
• Harish N Shownkeen, MD
• Archana Shrivastava, MD
• Elissa Shultz, M.S., CCC-SLP
• Tanner Shultz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.