Individual provider Active NPI

Grace Hoak, OTD, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1295465599
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014911 Issued in IL
Practice address
355 E Ohio St Unit 3809
Chicago, IL 60611-5875
Phone
(847) 274-7659
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014911 IL Primary

Addresses

Primary practice location

355 E Ohio St Unit 3809
Chicago, IL 60611-5875

Mailing address

355 E Ohio St Unit 3809
Chicago, IL 60611-5875
Phone (847) 274-7659

Other practice location 1

18 N Catherine Ave
LA Grange, IL 60525-5930
Phone (708) 482-9453

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Availity

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
056.014911ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1295465599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E OHIO ST UNIT 3809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115875",
            "telephone_number": "847-274-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E OHIO ST UNIT 3809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115875",
            "telephone_number": "847-274-7659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Catherine Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605255930",
            "country_code": "US",
            "telephone_number": "708-482-9453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAK",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Availity",
            "affiliation": "N",
            "address_1": "355 E Ohio St Unit 3809",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606115875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 8, 2022; 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.