Active NPI
Anne Gleason
- Pediatric Occupational Therapist
- Chicago, IL
National Provider Identifier
1417528506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 304 N Loomis St
Chicago, IL 60607-1147 - Phone
- (312) 243-8487
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
304 N Loomis St
Chicago, IL 60607-1147
Mailing address
304 N Loomis St
Chicago, IL 60607-1147
Phone (312) 243-8487
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Bird Day LLC | Pediatrics | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1417528506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071147",
"telephone_number": "312-243-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071147",
"telephone_number": "312-243-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.