Active NPI
Shivani Nagpaul
- Pediatric Occupational Therapist
- Westchester, IL
National Provider Identifier
1376063495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056.014822
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB7360731 | Other | OH | MEDICARE PIN |
| 2187155 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11038 | NC | MD | Occupational Therapist |
| OT009805 | OH | MD | Occupational Therapist |
| 0119008815 | VA | MD | Occupational Therapist |
| 056.014822 | IL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
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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.