Active NPI
Ausra Maria Sutkus, OTR,L
- Occupational Therapist
- Oak Forest, IL
National Provider Identifier
1205176294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.006605
- Practice address
- 15900 South Cicero, Oak Forest Heath Center
Oak Forest, IL 60452 - Phone
- (708) 633-2100
- Fax
- (708) 633-2129
- NPI assigned
- Feb 27, 2013
- 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 | 056.006605 | IL | Primary |
Addresses
Primary practice location
15900 South Cicero, Oak Forest Heath Center
Oak Forest, IL 60452
Mailing address
15900 South Cicero, Oak Forest Heath Center
Oak Forest, IL 60452
Phone (708) 633-2100
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 |
|---|---|---|---|
| 056.006605 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1205176294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15900 SOUTH CICERO, OAK FOREST HEATH CENTER",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "60452",
"telephone_number": "708-633-2100",
"fax_number": "708-633-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15900 SOUTH CICERO, OAK FOREST HEATH CENTER",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "60452",
"telephone_number": "708-633-2100",
"fax_number": "708-633-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTKUS",
"first_name": "AUSRA",
"middle_name": "MARIA",
"credential": "OTR,L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.006605",
"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 Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.