Individual provider Active NPI

Faith McChristen

  • Occupational Therapist
  • Palos Park, IL
National Provider Identifier
1407579147
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056010844 Issued in IL
Practice address
10300 Village Circle Dr
Palos Park, IL 60464-3541
Phone
(708) 361-3683
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 056010844 IL Primary

Addresses

Primary practice location

10300 Village Circle Dr
Palos Park, IL 60464-3541

Mailing address

16425 Club CT
Crest Hill, IL 60403-1547
Phone (708) 969-4202

Other practice location 1

605 Edward Dr
Romeoville, IL 60446-6507
Phone (815) 439-2033

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056010844ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1407579147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16425 CLUB CT",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031547",
            "telephone_number": "708-969-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 VILLAGE CIRCLE DR",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643541",
            "telephone_number": "708-361-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Edward Dr",
            "address_purpose": "LOCATION",
            "city": "Romeoville",
            "state": "IL",
            "postal_code": "604466507",
            "country_code": "US",
            "telephone_number": "815-439-2033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCHRISTEN",
        "first_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.