Individual provider Active NPI

Nicole Paige Siek

  • Occupational Therapist
  • Oak Lawn, IL
National Provider Identifier
1306575055
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.015420 Issued in IL
Practice address
9524 Mansfield Ave Apt 5
Oak Lawn, IL 60453-2866
Phone
(708) 864-0958
NPI assigned
Jun 8, 2022
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Occupational Therapist 225X00000X 056.015420 IL Primary

Addresses

Primary practice location

9524 Mansfield Ave Apt 5
Oak Lawn, IL 60453-2866

Mailing address

9524 Mansfield Ave Apt 5
Oak Lawn, IL 60453-2866
Phone (708) 864-0958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512001671 IL Practitioner - Occupational Therapist in Private Practice 6103343215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bee You Therapy LLCGroup PAC ID 1658728837, 5 clinicians

Practice addresses (Care Compare)

9624 Willow LN
Mokena, IL 60448-9318
Phone (708) 995-1933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.015420ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bee You Therapy LLC Occupational Therapist CurrentSince May 1, 2025 Accepting new patients

Locations

9624 Willow Ln
Mokena, IL 60448
Phone (708) 375-9753

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1306575055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 MANSFIELD AVE APT 5",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532866",
            "telephone_number": "708-864-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 MANSFIELD AVE APT 5",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532866",
            "telephone_number": "708-864-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEK",
        "first_name": "NICOLE",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.

Verify at the official NPI Registry.