Active NPI
Matthew James Ouradnik, OTR
- Occupational Therapist
- Orland Park, IL
National Provider Identifier
1144673500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056013376
- Practice address
- 14711 S Ravinia Ave
Orland Park, IL 60462-3100 - Phone
- (815) 469-1500
- NPI assigned
- Jul 20, 2016
- Sex
- Male
- 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 | 056013376 | IL | Primary |
Addresses
Primary practice location
14711 S Ravinia Ave
Orland Park, IL 60462-3100
Mailing address
14711 S Ravinia Ave
Orland Park, IL 60462-3100
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 |
|---|---|---|---|
| 056013376 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Childrens Therapy | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581120000000",
"number": "1144673500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14711 S RAVINIA AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14711 S RAVINIA AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623100",
"telephone_number": "815-469-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OURADNIK",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-20",
"last_updated": "2020-02-08",
"certification_date": "2020-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056013376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.