Active NPI
Christina Willey, OT
- Occupational Therapist
- Canton, IL
National Provider Identifier
1235699893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.01283
- Practice address
- 210 W Walnut St
Canton, IL 61520-2444 - Phone
- (309) 647-5240
- NPI assigned
- Mar 20, 2019
- 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 | 056.01283 | IL | Primary |
Addresses
Primary practice location
210 W Walnut St
Canton, IL 61520-2444
Mailing address
328 E Prospect St
Kewanee, IL 61443-2914
Phone (309) 883-2838
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwilley@grahamhospital.org | Direct | GRAHAM HOSPITAL ASSOCIATION |
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 |
|---|---|---|---|
| 056.01283 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1235699893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 E PROSPECT ST",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614432914",
"telephone_number": "309-883-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W WALNUT ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202444",
"telephone_number": "309-647-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "CHRISTINA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.01283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwilley@grahamhospital.org",
"affiliation": "Y",
"endpointDescription": "work email, encryped",
"affiliationName": "GRAHAM HOSPITAL ASSOCIATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "210 W Walnut St",
"city": "Canton",
"state": "IL",
"country_code": "US",
"postal_code": "615202444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.