Cynthia Otoole - Granberry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3615 W Gate Pkwy
Rockford, IL 61108-6162

Phone

(815) 229-2881

NPI assigned

Dec 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cynthia Otoole Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1346757374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 W GATE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611086162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W GATE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611086162",
            "telephone_number": "815-229-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOOLE - GRANBERRY",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "OTOOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Ostendorf, PT
• Lu Ann Ostrander, APN
• Monica Krystyna Ostrowski, APRN
• Sarah Ostrum, LSW
• Allison Oswald, LCSW
• Rukayat Olubunmi Otulana, MD
• Our Children'S Homestead
• Our Children'S Homestead
• Angela C Oviedo, LMSW
• Samantha J Owen, LPTA

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.