Fulfilled Ability LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FULFILLED ABILITY LLC

Practice address

9816 S Drexel Ave
Chicago, IL 60628-1530

Phone

(773) 844-7759

NPI assigned

Apr 10, 2025

Organization subpart

No

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

Authorized official

Name

Raven Long

Title

Owner

Phone

(773) 844-7759

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raven Lashell McCrary, OTR

  • Occupational Therapist
  • Chicago, IL
  • NPI 1255535290
  NPD

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1235924275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 S DREXEL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281530",
            "telephone_number": "773-844-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 S DREXEL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281530",
            "telephone_number": "773-844-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLED ABILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-844-7759"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.