Active NPI
Ryanne Born, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1235744053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056013678
- Practice address
- 908 W Argyle St
Chicago, IL 60640-3806 - Phone
- (773) 985-5595
- NPI assigned
- Sep 9, 2020
- 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 | 056013678 | IL | Primary |
Addresses
Primary practice location
908 W Argyle St
Chicago, IL 60640-3806
Mailing address
440 N Wabash Ave Apt 2706
Chicago, IL 60611-7641
Phone (415) 637-7789
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21929 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1235744053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N WABASH AVE APT 2706",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117641",
"telephone_number": "415-637-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 W ARGYLE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606403806",
"telephone_number": "773-985-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORN",
"first_name": "RYANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056013678",
"primary": true
}
],
"identifiers": [],
"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 Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.