Active NPI
Michele Blidy, OTR/L
- Occupational Therapist
- Burr Ridge, IL
National Provider Identifier
1285104844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.010996
- Practice address
- 16W301 91St St
Burr Ridge, IL 60527-6368 - Phone
- (630) 568-5479
- NPI assigned
- Nov 27, 2018
- Last updated
- Feb 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 056.010996 | IL | Primary |
Addresses
Primary practice location
16W301 91St St
Burr Ridge, IL 60527-6368
Mailing address
14501 Central CT Unit G4
Oak Forest, IL 60452
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 |
|---|---|---|---|
| 056.010996 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1285104844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14501 CENTRAL CT UNIT G4",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "60452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16W301 91ST ST",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276368",
"telephone_number": "630-568-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIDY",
"first_name": "MICHELE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.010996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.