Individual provider Active NPI

Mary Lauren McKevitt, OTR/L

  • Pediatric Occupational Therapist
  • North Riverside, IL
National Provider Identifier
1154891349
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.012785 Issued in IL
Practice address
7929 W Cermak Rd Unit C
North Riverside, IL 60546-1378
Phone
(708) 442-0023
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.012785 IL Primary

Addresses

Primary practice location

7929 W Cermak Rd Unit C
North Riverside, IL 60546-1378

Mailing address

2056 N Hoyne Ave Apt 3R
Chicago, IL 60647-4559
Phone (630) 688-9197

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
056.012785ILMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1154891349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 N HOYNE AVE APT 3R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474559",
            "telephone_number": "630-688-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 W CERMAK RD UNIT C",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461378",
            "telephone_number": "708-442-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEVITT",
        "first_name": "MARY",
        "middle_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.012785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.