Armentha L. Cross, 056.002718

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.002718 Issued in IL

Practice address

336 Luella Ave
Calumet City, IL 60409-1897

Phone

(312) 296-7478

Fax

(773) 373-7304

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Apex Therapeutic Services

  • Early Intervention Provider Agency
  • Calumet City, IL
  • NPI 1366984601
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336262400000",
    "number": "1164553301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LUELLA AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604091897",
            "telephone_number": "312-296-7478",
            "fax_number": "773-373-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 LUELLA AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604091897",
            "telephone_number": "312-296-7478",
            "fax_number": "773-373-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ARMENTHA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "056.002718",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.002718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APEX THERAPEUTIC SERVICES",
            "identifier": "1164153301",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICG REHAB SERVICES, 1620 N. LASALLE, CHICAGO, ILLINOIS  60614",
            "identifier": "1164553301",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Contreras, O.D.
• Patrick Cornelius, MS, LCPC, NCC, CADC
• Corpsman Up Foundation
• County of Cook
• Crescent Home Health Care Inc.
• Tracy L Cupper, LCSW
• Cynthia Goldman S.C.
• Pinakinprasad K Dave, M.D.
• David N Gasbarro
• Laconyer Davis, MACC, LPC, NCC, CADC

• Occupational Therapist in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2012; 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.