Delaney Renee Galvin, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-012656 Issued in IL

Practice address

19801 Governors Hwy Ste 100
Flossmoor, IL 60422-4363

Phone

(708) 647-1500

Fax

(708) 647-1800

NPI assigned

Dec 16, 2017

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Delaney Renee McDermott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1164938957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY STE 100",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224363",
            "telephone_number": "708-647-1500",
            "fax_number": "708-647-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "DELANEY",
        "middle_name": "RENEE",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-16",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-012656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELANEY",
            "last_name": "MCDERMOTT",
            "middle_name": "RENEE",
            "credential": "MOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Fowler
• Nancy Frost, C.R.N.A
• Victor P Fuller
• Dynata Charles Funderburg, M.A.
• Leah Marie Galderio
• Jennifer A Gardner, CRNA
• Keshawn Gardner, CSFA
• Annalisa Garetto
• Ryan Edward Garwood, DO
• Cynthia Jane Gerecke, M.S. CCC-SLP/L

• Occupational Therapist in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.