Active NPI
Rebecca Laura Foyle Peitzmann, O.T.R./L, CHT, CLT
- Occupational Therapist
- Tinley Park, IL
National Provider Identifier
1184911737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056003284
- Practice address
- 17129 S Harlem
B3
Tinley Park, IL 60477 - Phone
- (708) 253-6500
- NPI assigned
- Jul 5, 2011
- 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 | 056003284 | IL | Primary |
Addresses
Primary practice location
17129 S Harlem
B3
Tinley Park, IL 60477
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-1482
Phone (630) 469-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992985592 | Other | IL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpeitzmann201796@dulyhealthandcare.direct-ci.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056003284 | IL | MD | Occupational Therapist |
Interoperability endpoints
- rpeitzmann201796@dulyhealthandcare.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1184911737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606741482",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17129 S HARLEM",
"address_2": "B3",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "60477",
"telephone_number": "708-253-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOYLE PEITZMANN",
"first_name": "REBECCA",
"middle_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "O.T.R./L, CHT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056003284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1992985592",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpeitzmann201796@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "17129 S Harlem",
"address_2": "B3",
"city": "Tinley Park",
"state": "IL",
"country_code": "US",
"postal_code": "60477",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.