Terence M Tagimacruz, O.T.R./L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056006083 Issued in IL

Practice address

3309 Redbud Dr
Lindenhurst, IL 60046-9079

Phone

(847) 356-2676

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By the provider in NPPES

Sex

Male

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1235388950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 REDBUD DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 REDBUD DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469079",
            "telephone_number": "847-356-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGIMACRUZ",
        "first_name": "TERENCE",
        "middle_name": "M",
        "credential": "O.T.R./L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Steffens
• Stephen J. Clark M.D.,P.C.
• Leia Stephens, LMT
• Lori Stopps, MSW, LSW
• Valerie Lea Streich, FNP-BC
• Cire Nicolas Juanico Tan
• The Partners for Dental Health
• Therapeutic Alternatives Inc
• Jessica Tomkowiak
• Dimitrios George Tsakos, PHARM.D

• Occupational Therapist in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.