Active NPI
Chevie Lay, MSOT, OTR/L
- Occupational Therapist
- Carthage, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.012416
- Practice address
- 1454 N County Road 2050 E
Carthage, IL 62321-3551 - Phone
- (217) 357-8500
- NPI assigned
- Jun 2, 2019
- Last updated
- Nov 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.012416 | IL | Primary |
Addresses
Primary practice location
1454 N County Road 2050 E
Carthage, IL 62321-3551
Mailing address
25592 County Road 418 Spur
Kahoka, MO 63445-1936
Other names 1
- Chevie Marie Wiseman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.012416 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients |
Locations
1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
Interoperability endpoints
- clay823450@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
dba Women & Family Medical Group
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1205887742
-
dba Memorial Medical Clinic Broadway
- Rural Health Clinic/Center
- Hamilton, IL
- NPI 1679327779
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1427616770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25592 COUNTY ROAD 418 SPUR",
"city": "KAHOKA",
"state": "MO",
"postal_code": "634451936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 N COUNTY ROAD 2050 E",
"city": "CARTHAGE",
"state": "IL",
"postal_code": "623213551",
"telephone_number": "217-357-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAY",
"first_name": "CHEVIE",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-02",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.012416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHEVIE",
"last_name": "WISEMAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carthage, IL
- Jay McHugh (McHugh Drug Storr)
- Andrea Lea Jones Boley
- Christopher Martin Jones, M.D.
- JW Medical, Inc. (MORE Medical)
- Nikolous Kuster
- Joe N Little
- Marcia Ann McGaughey, TEACHER
- McHugh Drug Store LLC
- Memorial Hospital Association (Memorial Hospital)
- Memorial Hospital Association (Women & Family Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.