Active NPI
William C. Hellyer Jr., MBA, OTR/L
- Occupational Therapist
- Rockford, IL
National Provider Identifier
1386745164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3475 S Alpine Rd
Rockford, IL 61109-2604 - Phone
- (815) 874-8000
- Fax
- (815) 874-7525
- NPI assigned
- Sep 26, 2006
- Last updated
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Primary |
Addresses
Primary practice location
3475 S Alpine Rd
Rockford, IL 61109-2604
Mailing address
5002 Telluride CT
Caledonia, IL 61011-9006
Phone (815) 979-2555
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)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-003705 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care North Chicago LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1386745164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 TELLURIDE CT",
"city": "CALEDONIA",
"state": "IL",
"postal_code": "610119006",
"telephone_number": "815-979-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 S ALPINE RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611092604",
"telephone_number": "815-874-8000",
"fax_number": "815-874-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLYER",
"first_name": "WILLIAM",
"middle_name": "C.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MBA, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.