Active NPI
Sareena M Denis, OTD, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1174224448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056014736
- Practice address
- 5669 N Northwest Hwy
Chicago, IL 60646-6153 - Phone
- (773) 467-5669
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056014736 | IL | Primary |
Addresses
Primary practice location
5669 N Northwest Hwy
Chicago, IL 60646-6153
Mailing address
9650 Keeler Ave
Skokie, IL 60076-1128
Phone (847) 254-2399
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 |
|---|---|---|---|
| 056014736 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1174224448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 KEELER AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761128",
"telephone_number": "847-254-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5669 N NORTHWEST HWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606466153",
"telephone_number": "773-467-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENIS",
"first_name": "SAREENA",
"middle_name": "M",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056014736",
"primary": true
}
],
"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 Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.