Individual provider Active NPI

Anna Elizabeth Fenstermacher, OTD

  • Hand Occupational Therapist
  • St Charles, IL
National Provider Identifier
1447008313
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
056015832 Issued in IL
Practice address
2825 Foxfield Rd Ste 200
St Charles, IL 60174-5734
Phone
(877) 377-1188
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056015832 IL
Hand Occupational Therapist 225XH1200X 056015832 IL Primary

Addresses

Primary practice location

2825 Foxfield Rd Ste 200
St Charles, IL 60174-5734

Mailing address

512 Barrington Ave
East Dundee, IL 60118-1423
Phone (224) 639-9246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702003747 IL Practitioner - Occupational Therapist in Private Practice 5395289284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Orthopedics and Sports Medicine LLCGroup PAC ID 7618955808, 24 clinicians

Practice addresses (Care Compare)

2900 Foxfield Rd
Suite 102
St Charles, IL 60174-5799
Phone (630) 377-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056015832ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince May 1, 2024 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1315 N Highland Ave
Ste 201
Aurora, IL 60506
Phone (630) 229-6708

1044 N Francisco Ave
Ste 405
Chicago, IL 60622

5425 W Lake St
Chicago, IL 60644
Phone (773) 378-3347

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

2641 W Harrison St
Chicago, IL 60612
Phone (708) 264-1919

200 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 244-5660

2425 W 22nd St
Ste 103
Oak Brook, IL 60523
Phone (630) 571-3333

4709 Golf Rd
Ste 1220
Skokie, IL 60076

2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960

2825 Foxfield Rd
#200
St Charles, IL 60174

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1447008313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BARRINGTON AVE",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181423",
            "telephone_number": "224-639-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FOXFIELD RD STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745734",
            "telephone_number": "877-377-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSTERMACHER",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056015832",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IL",
            "license": "056015832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.