Olivia Bayer, MOT, OTR/L
Individual provider Active NPI Specialist · Northfield, IL
NPI 1275970766 · NPPES record last updated May 24, 2013
Key facts
- NPI
- 1275970766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 056010045 (IL)
- Practice address
- 222 Northfield Rd
Suite 201
Northfield, IL 60093-3374 - Phone
- (847) 784-9115
- NPI assigned
- May 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056010045 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids in Sync | Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 056010045 | IL | Yes |
Addresses
Primary practice location
222 Northfield Rd
Suite 201
Northfield, IL 60093-3374
Mailing address
222 Northfield Rd
Suite 201
Northfield, IL 60093-3374
Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.