Individual provider Active NPI

Peggi M O'Connor, OTR

  • Occupational Therapist
  • Oak Forest, IL
National Provider Identifier
1184748527
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056004642 Issued in IL
Practice address
6020 151St St
Oak Forest, IL 60452-1841
Phone
(708) 687-0900
NPI assigned
Mar 19, 2007
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056004642 IL Primary

Addresses

Primary practice location

6020 151St St
Oak Forest, IL 60452-1841

Mailing address

6819 W Linden Dr
Palos Heights, IL 60463-2135
Phone (708) 361-0794

Other practice location 1

6819 W Linden Dr
Palos Heights, IL 60463-2135
Phone (708) 361-0794

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

LicenseStateTypeSpecialty
056004642ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Cook County Cooperative Assn for Special Education PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1184748527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 W LINDEN DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632135",
            "telephone_number": "708-361-0794",
            "fax_number": "708-361-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 151ST ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521841",
            "telephone_number": "708-687-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6819 W Linden Dr",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604632135",
            "country_code": "US",
            "telephone_number": "708-361-0794",
            "fax_number": "708-361-1421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "PEGGI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056004642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.