Active NPI
Beckett Shea-Shumsky, MSOT
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1346018124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056015766
- Practice address
- 2700 N Hampden CT
Chicago, IL 60614 - Phone
- (312) 278-0022
- Fax
- (888) 975-3791
- NPI assigned
- Dec 12, 2023
- 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 | 056015766 | IL | Primary |
Addresses
Primary practice location
2700 N Hampden CT
Chicago, IL 60614
Mailing address
510 Madison St Apt 3N
Oak Park, IL 60302-4427
Phone (208) 949-1552
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 |
|---|---|---|---|
| 056015766 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1346018124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 MADISON ST APT 3N",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024427",
"telephone_number": "208-949-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N HAMPDEN CT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "312-278-0022",
"fax_number": "888-975-3791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA-SHUMSKY",
"first_name": "BECKETT",
"credential": "MSOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056015766",
"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 Dec 12, 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.