Kaylee Greenberg, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056011619 Issued in IL

Practice address

9501 Austin Ave
Morton Grove, IL 60053-1505

Phone

(847) 967-9800

NPI assigned

Jan 9, 2022

Sex

Female

Sole proprietor

Yes

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.

• Freedom Woods, Inc.

  • Rehabilitation Clinic/Center
  • Morton Grove, IL
  • NPI 1508087651
  NPD (past)

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1225799463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DOLORES DR",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 AUSTIN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531505",
            "telephone_number": "847-967-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "KAYLEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Glikina
• Jeffrey Goldstein, MD
• Wayne Goldstein, MD
• Golf Elementary Dist 67
• Neil D Graham, M.D.
• Emily Rose Greiner
• Glenn Guevarra, RT
• Roop Gupta, MD
• Mireille Camille Halim, DDS
• Megan Handley, MA, LPCP

• Occupational Therapist in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.