Individual provider Active NPI

Miriam Lisa Katzman

  • Occupational Therapist
  • Skokie, IL
National Provider Identifier
1154525079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
56004090 Issued in IL
Practice address
3716 Davis St
Skokie, IL 60076-1745
Phone
(847) 982-5822
Fax
(847) 982-5823
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 56004090 IL Primary

Addresses

Primary practice location

3716 Davis St
Skokie, IL 60076-1745

Mailing address

3616 Grove St
Skokie, IL 60076-1902
Phone (847) 673-8038

Other names 1

  • Miriam Lisa Eisenstein Former name

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
56004090ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Timber Ridge Pediatric Therapy, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154525079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 GROVE ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761902",
            "telephone_number": "847-673-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 DAVIS ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761745",
            "telephone_number": "847-982-5822",
            "fax_number": "847-982-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZMAN",
        "first_name": "MIRIAM",
        "middle_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "56004090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "EISENSTEIN",
            "middle_name": "LISA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.