Naomi Petithomme, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005447 Issued in IL

Practice address

5336 N Western Ave
Chicago, IL 60625-2310

Phone

(773) 271-5600

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1154990760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 S ELIZABETH ST # 85",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204038",
            "telephone_number": "773-948-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252310",
            "telephone_number": "773-271-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITHOMME",
        "first_name": "NAOMI",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd William Hathaway Peterson, D.C.
• Zachary Peterson
• Petham Muthuswamy, M.D., SC
• Paige Michelle Petite
• Robert Petite, LMFT-IL
• Melissa S Petito
• Alyssa Michelle Petko, O.D.
• Jacqueline Petkovic, RN
• Grace Petr, PA-C
• Leah Kristina Petrak, PA-C

• Occupational Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.