Individual provider Active NPI

Linda T Lederer, OT

  • Occupational Therapist
  • Skokie, IL
National Provider Identifier
1346548427
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056000006 Issued in IL
Practice address
4709 Golf Rd
Suite 1200
Skokie, IL 60076-1231
Phone
(847) 869-7233
Fax
(847) 869-9461
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056000006 IL Primary

Addresses

Primary practice location

4709 Golf Rd
Suite 1200
Skokie, IL 60076-1231

Mailing address

8918 Sleeping Bear Rd
Skokie, IL 60076-1918
Phone (847) 673-6237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000434 IL Practitioner - Occupational Therapist in Private Practice 5294995866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics and Rheumatology of the North Shore SCGroup PAC ID 4981707494, 7 clinicians

Practice addresses (Care Compare)

4709 Golf Rd
Suite 300
Skokie, IL 60076-1233
Phone (847) 869-7233

Merit-based Incentive Payment System (MIPS)

Final score
93.61 of 100Reported as group
Quality
87.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056000006ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics & Rheumatology of the North Shore SC CurrentSince Jan 25, 2016 Accepting new patients

Locations

4709 Golf Rd
Ste 300
Skokie, IL 60076
Phone (847) 869-7233

4709 Golf Rd
Ste 1200
Skokie, IL 60076
Phone (847) 869-7233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1346548427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 SLEEPING BEAR RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761918",
            "telephone_number": "847-673-6237",
            "fax_number": "847-673-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "SUITE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-869-7233",
            "fax_number": "847-869-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERER",
        "first_name": "LINDA",
        "middle_name": "T",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056000006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.