NPIMap

Organization Active NPI

OT Laura LLC

  • Occupational Therapist
  • Park Ridge, IL
National Provider Identifier
1316455769
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OT LAURA LLC
Practice address
36 Main St
Park Ridge, IL 60068-4059
Phone
(847) 692-6692
NPI assigned
Jan 19, 2018
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Laura Obrien, OTR/LNPI 1093094450
Title
Occupational Therapist
Phone
(708) 724-8780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

36 Main St
Park Ridge, IL 60068-4059

Mailing address

799 Graceland Ave Unit 508
Des Plaines, IL 60016-8623
Phone (708) 724-8780

National Provider Directory

National Provider Directory

Locations

36 Main St
Park Ridge, IL 60068
Phone (847) 692-6692

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1316455769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 GRACELAND AVE UNIT 508",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600168623",
            "telephone_number": "708-724-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684059",
            "telephone_number": "847-692-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT LAURA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "708-724-8780",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.