Active NPI
Callan Patricia McDermott, OCCUPATIONAL THERAPI
- Occupational Therapist
- Willowbrook, IL
National Provider Identifier
1194356725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 6300 Kingery Hwy Ste 102
Willowbrook, IL 60527-2250 - Phone
- (815) 469-1500
- NPI assigned
- Feb 2, 2020
- 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 | Primary |
Addresses
Primary practice location
6300 Kingery Hwy Ste 102
Willowbrook, IL 60527-2250
Mailing address
6300 Kingery Hwy Ste 102
Willowbrook, IL 60527-2250
Phone (815) 469-1500
Other practice location 1
5420 Old Orchard Rd Ste 1B
Skokie, IL 60077-1053
Phone (847) 604-0955
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Childrens Therapy | Occupational Therapist | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1194356725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 KINGERY HWY STE 102",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272250",
"telephone_number": "815-469-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 KINGERY HWY STE 102",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272250",
"telephone_number": "815-469-1500"
}
],
"practiceLocations": [
{
"address_1": "5420 Old Orchard Rd Ste 1B",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600771053",
"country_code": "US",
"telephone_number": "847-604-0955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "CALLAN",
"middle_name": "PATRICIA",
"name_prefix": "Miss",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-02",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.