Active NPI
Callyn Leigh Giacomuzzi, OT
- Occupational Therapist
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.011460
- Practice address
- 2210 Fountain Square Dr
Lombard, IL 60148-5609 - Phone
- (630) 953-8990
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 056.011460 | IL | Primary |
Addresses
Primary practice location
2210 Fountain Square Dr
Lombard, IL 60148-5609
Mailing address
2210 Fountain Square Dr
Lombard, IL 60148-5609
Other practice location 1
200 E Lake St
Elmhurst, IL 60126-2013
Phone (630) 516-5000
Other names 1
- Callyn Zartman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011460 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Unlimited Potential 1 Inc. | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Il LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
2210 Fountain Square Dr
Lombard, IL 60148
Phone (630) 599-7742
6300 Clarendon Hills Rd
Willowbrook, IL 60527
Phone (618) 534-7890
Organizations & group practices 4
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Occupational Therapist
-
- Physical Therapist
- Westchester, IL
- NPI 1114443462
Occupational Therapist
-
- Occupational Therapist
- Niles, IL
- NPI 1861621757
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1316564313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 FOUNTAIN SQUARE DR",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601485609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 FOUNTAIN SQUARE DR",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601485609",
"telephone_number": "630-953-8990"
}
],
"practiceLocations": [
{
"address_1": "200 E Lake St",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "601262013",
"country_code": "US",
"telephone_number": "630-516-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIACOMUZZI",
"first_name": "CALLYN",
"middle_name": "LEIGH",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CALLYN",
"last_name": "ZARTMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.