Active NPI
Denise Ellyn Maas, MOTR:/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1164864344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056-005610
- Practice address
- 9559 S Charles St
Chicago, IL 60643-1203 - Phone
- (773) 519-0045
- NPI assigned
- Jul 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-005610 | IL | Primary |
| Occupational Therapist | 225X00000X | 31003102A | IN |
Addresses
Primary practice location
9559 S Charles St
Chicago, IL 60643-1203
Mailing address
9559 S Charles St
Chicago, IL 60643-1203
Phone (773) 519-0045
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 |
|---|---|---|---|
| 056-005610 | IL | MD | Occupational Therapist |
| 31003102A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1164864344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9559 S CHARLES ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606431203",
"telephone_number": "773-519-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9559 S CHARLES ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606431203",
"telephone_number": "773-519-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAAS",
"first_name": "DENISE",
"middle_name": "ELLYN",
"name_prefix": "Ms.",
"credential": "MOTR:/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-005610",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003102A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.