Active NPI
Emily Katheryne Kotevski, OTD
- Occupational Therapist
- Aurora, IL
National Provider Identifier
1306414271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056-014322
- Practice address
- 2124 Ogden Ave
Aurora, IL 60504-7514 - Phone
- (630) 967-2000
- Fax
- (331) 551-5418
- NPI assigned
- Jun 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-014322 | IL | Primary |
Addresses
Primary practice location
2124 Ogden Ave
Aurora, IL 60504-7514
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other names 1
- Emily Katheryne Rudzinski
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emily.kotevski@dulyhealthandcare.direct-ci.com |
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 |
|---|---|---|---|
| 056-014322 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1306414271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 OGDEN AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605047514",
"telephone_number": "630-967-2000",
"fax_number": "331-551-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTEVSKI",
"first_name": "EMILY",
"middle_name": "KATHERYNE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-014322",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emily.kotevski@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "2124 Ogden Ave",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605047514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EMILY",
"last_name": "RUDZINSKI",
"middle_name": "KATHERYNE",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.