Individual provider Active NPI

Chelsie Christophe, OTR/L

  • Pediatric Occupational Therapist
  • Mokena, IL
National Provider Identifier
1255883187
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.011647 Issued in IL
Practice address
19100 Crescent Dr
Suite 101
Mokena, IL 60448-7510
Phone
(708) 478-5400
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.011647 IL Primary

Addresses

Primary practice location

19100 Crescent Dr
Suite 101
Mokena, IL 60448-7510

Mailing address

19100 Crescent Dr
Suite 101
Mokena, IL 60448-7510
Phone (708) 478-5400

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

LicenseStateTypeSpecialty
056.011647ILMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Can DO, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1255883187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 CRESCENT DR",
            "address_2": "SUITE 101",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487510",
            "telephone_number": "708-478-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 CRESCENT DR",
            "address_2": "SUITE 101",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487510",
            "telephone_number": "708-478-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHE",
        "first_name": "CHELSIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.011647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.