Active NPI
Josephine Padilla, OTR
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1417121567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.002068
- Practice address
- 2710 N Clark St
Chicago, IL 60614-1503 - Phone
- (773) 244-0005
- NPI assigned
- Apr 19, 2008
- Last updated
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 056.002068 | IL | Primary |
Addresses
Primary practice location
2710 N Clark St
Chicago, IL 60614-1503
Mailing address
PO Box 147322
Chicago, IL 60614-7322
Phone (773) 472-7253
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.002068 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1417121567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 147322",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147322",
"telephone_number": "773-472-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141503",
"telephone_number": "773-244-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "JOSEPHINE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-19",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.002068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.