Active NPI
Candace Buggs, MOTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1225358062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.007619
- Practice address
- 4538 N Beacon St
Chicago, IL 60640-5519 - Phone
- (773) 275-7200
- NPI assigned
- Jun 3, 2010
- 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 | 056.007619 | IL | Primary |
Addresses
Primary practice location
4538 N Beacon St
Chicago, IL 60640-5519
Mailing address
4538 N Beacon St
Chicago, IL 60640-5519
Phone (773) 275-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056.007619 | Other | IL | OCCUPATIONAL THERAPIST LICENSE |
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 |
|---|---|---|---|
| 056.007619 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1225358062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4538 N BEACON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405519",
"telephone_number": "773-275-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4538 N BEACON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405519",
"telephone_number": "773-275-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGGS",
"first_name": "CANDACE",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.007619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST LICENSE",
"identifier": "056.007619",
"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 Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.