Individual provider Active NPI

Shivani Nagpaul

  • Pediatric Occupational Therapist
  • Westchester, IL
National Provider Identifier
1376063495
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.014822 Issued in IL
Practice address
2255 Enterprise Dr Ste 5501
Westchester, IL 60154-5808
Phone
(708) 965-4123
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11038 NC
Occupational Therapist 225X00000X 0119008815 VA
Occupational Therapist 225X00000X 022897 NY
Occupational Therapist 225X00000X OT009805 OH
Pediatric Occupational Therapist 225XP0200X 056.014822 IL Primary

Addresses

Primary practice location

2255 Enterprise Dr Ste 5501
Westchester, IL 60154-5808

Mailing address

2556 W Armitage Ave Apt 203
Chicago, IL 60647-6771
Phone (216) 534-0426

Other identifiers 2

IdentifierTypeStateIssuer
AB7360731OtherOHMEDICARE PIN
2187155MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602000367 OH Practitioner - Occupational Therapist in Private Practice 2466923354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Oh, LLCGroup PAC ID 1254698350, 142 clinicians

Practice addresses (Care Compare)

6525 N High St
Worthington, OH 43085-4045
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11038NCMDOccupational Therapist
OT009805OHMDOccupational Therapist
0119008815VAMDOccupational Therapist
056.014822ILMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica Developmental Therapies PA Past Accepting new patients
Abc Pediatric Therapy LLC Occupational Therapist Past Accepting new patients
Cortica Healthcare Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1376063495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 W ARMITAGE AVE APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476771",
            "telephone_number": "216-534-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 ENTERPRISE DR STE 5501",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545808",
            "telephone_number": "708-965-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGPAUL",
        "first_name": "SHIVANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11038",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008815",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022897",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT009805",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.014822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AB7360731",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.