Mary McIntyre

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.014155 Issued in IL

Practice address

19100 Crescent Dr
Mokena, IL 60448-7510

Phone

(708) 478-5400

Fax

(708) 478-5300

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids Can DO, Inc.

  • Occupational Therapist
  • Mokena, IL
  • NPI 1861559585
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1225611718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14141 WILLIAM DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622018",
            "telephone_number": "708-522-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 CRESCENT DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487510",
            "telephone_number": "708-478-5400",
            "fax_number": "708-478-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.014155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma J. McCaskill
• Clare McCullough, OTR/L
• Katie Lynn McEnery
• Sheryl McEvoy, CCC-SLP
• Rosemary McGrath, MD
• Emily McKenna
• Diane E McKenzie, NP
• Kathleen Claire McLoughlin, MS, CCC-SLP
• MD2X S.C.
• MDM Advanced Ancillary Services, LLC

• Pediatric Occupational Therapist in Mokena, IL
• Providers in Mokena, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.