Active NPI
Emily Shannon Murray, OTR
- Occupational Therapist
- Glenview, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.013260
- Practice address
- 1850 Johns Dr
Glenview, IL 60025-1657 - Phone
- (847) 707-6744
- Fax
- (847) 786-2156
- NPI assigned
- Sep 9, 2019
- Last updated
- Oct 7, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | ||
| Occupational Therapist | 225X00000X | 056.013260 | IL | Primary |
Addresses
Primary practice location
1850 Johns Dr
Glenview, IL 60025-1657
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other practice location 1
719 N Marion St
Oak Park, IL 60302-1530
Phone (844) 478-6878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821602865 | Other | IL | M STREET PEDIATRIC THERAPY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.013260 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Occupational Therapist | Current | Accepting new patients |
Locations
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
1810 Johns Dr
Glenview, IL 60025
Phone (847) 310-9650
1850 Johns Dr
Glenview, IL 60025
Phone (847) 610-9650
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 2
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.
-
dba Axes Physical Therapy
- Physical Therapist
- Clinton, IL
- NPI 1376917187
Occupational Therapist
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1427607860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 JOHNS DR",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251657",
"telephone_number": "847-707-6744",
"fax_number": "847-786-2156"
}
],
"practiceLocations": [
{
"address_1": "719 N Marion St",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603021530",
"country_code": "US",
"telephone_number": "844-478-6878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURRAY",
"first_name": "EMILY",
"middle_name": "SHANNON",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.013260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M STREET PEDIATRIC THERAPY",
"identifier": "821602865",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.