Active NPI
Karen Donovan, OT
- Occupational Therapist
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056003239
- Practice address
- 2111 Ogden Ave
Aurora, IL 60504-7597 - Phone
- (630) 978-3800
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
-
- Specialist
- Warrenville, IL
- NPI 1801844642
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rush University Medical GroupRush-Copley Orthopedics, LLC
Practice addresses (Care Compare)
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
2111 Ogden Ave
Aurora, IL 60504-7597
Phone (630) 978-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041020001072 | IL | Practitioner - Occupational Therapist in Private Practice | 8527027937 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056003239 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Center | Current | Accepting new patients | |
| Rush-Copley Orthopedics, LLC | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| Oad Orthopaedics, LTD | Past | Accepting new patients |
Locations
2040 Ogden Ave
Ste 313
Aurora, IL 60504
Phone (630) 499-2404
2111 Ogden Ave
Aurora, IL 60504
Phone (630) 978-3800
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1100 W Veterans Pkwy
Ste 1
Yorkville, IL 60560
Phone (630) 553-3000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056003239 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2111 Ogden Ave
Aurora, IL 60504-7597
Mailing address
2111 Ogden Ave
Aurora, IL 60504-7597
Phone (630) 978-3800
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056-003239 | Other | IL | OT STATE LICENSE # |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2020.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1295891885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 OGDEN AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605047597",
"telephone_number": "630-978-3800",
"fax_number": "630-862-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 OGDEN AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605047597",
"telephone_number": "630-978-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "KAREN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056003239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT STATE LICENSE #",
"identifier": "056-003239",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.