Active NPI
Taylor Parks, OTR/L
- Mental Health Occupational Therapist
- Chicago, IL
National Provider Identifier
1306323548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- Practice address
- 3040 N Southport Ave Apt 2R
Chicago, IL 60657-4249 - Phone
- (502) 542-9242
- NPI assigned
- Jul 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 17-35802 | KY | |
| Mental Health Occupational Therapist | 225XM0800X | IL | Primary |
Addresses
Primary practice location
3040 N Southport Ave Apt 2R
Chicago, IL 60657-4249
Mailing address
3040 N Southport Ave Apt 2R
Chicago, IL 60657-4249
Phone (502) 542-9242
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-35802 | KY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1306323548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 N SOUTHPORT AVE APT 2R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574249",
"telephone_number": "502-542-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 N SOUTHPORT AVE APT 2R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574249",
"telephone_number": "502-542-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "TAYLOR",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": "17-35802",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 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.