Active NPI
James M Walker
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1366910051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 245224
- Practice address
- 520 N Marshfield Ave
Chicago, IL 60622-6731 - Phone
- (312) 243-6097
- NPI assigned
- Nov 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056013142 | IL | |
| Occupational Therapist | 225X00000X | 245224 | KY | Primary |
Addresses
Primary practice location
520 N Marshfield Ave
Chicago, IL 60622-6731
Mailing address
3140 S Union Ave
Chicago, IL 60616-5144
Phone (502) 648-8685
Other practice location 1
10330 Bunsen Way
Louisville, KY 40299-2508
Phone (502) 495-1662
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 |
|---|---|---|---|
| 056013142 | IL | MD | Occupational Therapist |
| 245224 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleidoscope Inc | Occupational Therapist | Past | Accepting new patients |
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": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1366910051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 S UNION AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165144",
"telephone_number": "502-648-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N MARSHFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606226731",
"telephone_number": "312-243-6097"
}
],
"practiceLocations": [
{
"address_1": "10330 Bunsen Way",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402992508",
"country_code": "US",
"telephone_number": "502-495-1662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "JAMES",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-12",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056013142",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "245224",
"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 Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.