Active NPI
Taelor Washington
- Occupational Therapist
- Oak Forest, IL
National Provider Identifier
1154102853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056015046
- Practice address
- 6320 159TH St Ste F
Oak Forest, IL 60452-2780 - Phone
- (708) 687-8768
- NPI assigned
- Oct 9, 2023
- Last updated
- Oct 9, 2023
- 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 | 056015046 | IL | Primary |
Addresses
Primary practice location
6320 159TH St Ste F
Oak Forest, IL 60452-2780
Mailing address
5750 Amlin Ter
Matteson, IL 60443-2936
Phone (773) 656-7013
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 |
|---|---|---|---|
| 056015046 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1154102853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 AMLIN TER",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432936",
"telephone_number": "773-656-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 159TH ST STE F",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604522780",
"telephone_number": "708-687-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "TAELOR",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056015046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.