Active NPI
Maria Andrea Cempron Montejo
- Occupational Therapist
- Bolingbrook, IL
National Provider Identifier
1154640035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056008393
- Practice address
- 101 Royce Rd
Suite 16
Bolingbrook, IL 60440-1458 - Phone
- (630) 226-9515
- Fax
- (630) 226-9510
- NPI assigned
- May 18, 2010
- 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 | 056008393 | IL | Primary |
Addresses
Primary practice location
101 Royce Rd
Suite 16
Bolingbrook, IL 60440-1458
Mailing address
102 Crabtree Rd
East Dundee, IL 60118-1010
Phone (706) 218-2117
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 |
|---|---|---|---|
| 056008393 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Staffing, Inc. | 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.
-
- Occupational Therapist
- Bolingbrook, IL
- NPI 1437487840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1154640035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CRABTREE RD",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181010",
"telephone_number": "706-218-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROYCE RD",
"address_2": "SUITE 16",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401458",
"telephone_number": "630-226-9515",
"fax_number": "630-226-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEJO",
"first_name": "MARIA ANDREA",
"middle_name": "CEMPRON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056008393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.