Shirley Hyde, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.003276 Issued in IL

Practice address

9912 S Forest Ave
Chicago, IL 60628-1440

Phone

(630) 205-5006

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anointed Hands Physical Therapy and Fitness Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Lenox, IL
  • NPI 1003164906
  NPD (past)
• Innovative Therapy Solutions, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1265790638
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1306196654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 W 79TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105004",
            "telephone_number": "630-205-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 S FOREST AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281440",
            "telephone_number": "630-205-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "SHIRLEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.003276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyde Park Universal Dental LLC
• Hyde Park Village Nursing & Rehabilitation Center LLC
• Hyde Park Vision Center LTD.
• Brianna Hyde
• Robert Alexander Hyde, M.D.
• Tiffany Hyde, APRN
• Sydney Hyder, M.D.
• Abbas A Hyderi
• Mary Elizabeth Hydes, DDS
• Hydrus Inc

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.