Individual provider Active NPI

Victoria Leeann Munson, OT

  • Physical Rehabilitation Occupational Therapist
  • Chicago, IL
National Provider Identifier
1205516085
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
056014377 Issued in IL
Practice address
1749 N Wells St
Chicago, IL 60614-5877
Phone
(312) 440-9646
Fax
(773) 337-9106
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 056014377 IL Primary

Addresses

Primary practice location

1749 N Wells St
Chicago, IL 60614-5877

Mailing address

1749 N Wells St
Chicago, IL 60614-5877
Phone (312) 440-9646

Other identifiers 1

IdentifierTypeStateIssuer
056014377OtherILPROFESSIONAL STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231003001828 IL Practitioner - Occupational Therapist in Private Practice 7315391711 Reassigns benefits to 1 organization
I20250331002959 IN Practitioner - Occupational Therapist in Private Practice 7315391711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Therapy and RehabilitationGroup PAC ID 7719305325, 6 clinicians

Practice addresses (Care Compare)

2522 W US Hwy 136
Covington, IN 47932-8102
Phone (765) 201-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services CurrentSince Feb 1, 2025 Accepting new patients
JH Therapy Services CurrentSince Feb 1, 2025 Accepting new patients
Advantage Therapy and Rehabilitation CurrentSince Jan 19, 2025 Accepting new patients

Locations

2045 W Grand Ave
Ste B36053
Chicago, IL 60612

2522 W US Highway 136
Covington, IN 47932
Phone (765) 201-0071

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Organizations & group practices 4

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1205516085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145877",
            "telephone_number": "312-440-9646",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145877",
            "telephone_number": "312-440-9646",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "VICTORIA",
        "middle_name": "LEEANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056014377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL STATE LICENSE",
            "identifier": "056014377",
            "state": "IL"
        }
    ],
    "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 Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.