Individual provider Active NPI

Joyce Kalsch, OTR/L

  • Occupational Therapist
  • La Grange Park, IL
National Provider Identifier
1144791427
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
38813 Issued in IL
Practice address
920 Barnsdale Rd
La Grange Park, IL 60526-1609
Phone
(708) 482-3003
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 38813 IL Primary

Addresses

Primary practice location

920 Barnsdale Rd
La Grange Park, IL 60526-1609

Mailing address

920 Barnsdale Rd
La Grange Park, IL 60526-1609
Phone (708) 482-3003

Other identifiers 1

IdentifierTypeStateIssuer
38813OtherILILLINOIS DEPARTMENT OF PROFESSIONAL REGULATIONS/OT LICENSE NUMBER

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

LicenseStateTypeSpecialty
38813ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1144791427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BARNSDALE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261609",
            "telephone_number": "708-482-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BARNSDALE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261609",
            "telephone_number": "708-482-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSCH",
        "first_name": "JOYCE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "38813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATIONS/OT LICENSE NUMBER",
            "identifier": "38813",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.