Individual provider Active NPI

William C. Hellyer Jr., MBA, OTR/L

  • Occupational Therapist
  • Rockford, IL
National Provider Identifier
1386745164
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
056-003705ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC PastSince Oct 27, 2025 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.

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.

Verify at the official NPI Registry.