NPIMap

Organization Active NPI

Beth Dodge, Inc.

  • Occupational Therapist
  • Oak Park, IL
National Provider Identifier
1407116726
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.002463 Issued in IL
Legal business name
BETH DODGE, INC.
Practice address
820 North Blvd
Suite B
Oak Park, IL 60301-1351
Phone
(708) 524-2445
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Beth Ellen Dodge, OTR/L
Title
Occupational Therapist
Phone
(773) 633-9662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 056.002463 IL Primary

Addresses

Primary practice location

820 North Blvd
Suite B
Oak Park, IL 60301-1351

Mailing address

223 S Cuyler Ave
Oak Park, IL 60302-3301
Phone (773) 633-9662

National Provider Directory

National Provider Directory

Locations

820 North Blvd
Ste B
Oak Park, IL 60301
Phone (630) 258-0588

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1407116726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023301",
            "telephone_number": "773-633-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NORTH BLVD",
            "address_2": "SUITE B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011351",
            "telephone_number": "708-524-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH DODGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "773-633-9662",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.002463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.