Individual provider Active NPI

Amy Kathryn Maren, OTR/L

  • Pediatric Occupational Therapist
  • Arlington Heights, IL
National Provider Identifier
1447427901
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.005506 Issued in IL
Practice address
3105 N Wilke Rd
Suite H
Arlington Heights, IL 60004-1495
Phone
(847) 255-8690
Fax
(847) 255-2260
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3433-026 WI
Pediatric Occupational Therapist 225XP0200X 056.005506 IL Primary

Addresses

Primary practice location

3105 N Wilke Rd
Suite H
Arlington Heights, IL 60004-1495

Mailing address

3105 N Wilke Rd
Suite H
Arlington Heights, IL 60004-1495
Phone (847) 255-8690

Other names 1

  • Ms. Amy Kathryn Welsford Former name

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

LicenseStateTypeSpecialty
056.005506ILMDPediatric Occupational Therapist
3433-026WIMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1447427901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 N WILKE RD",
            "address_2": "SUITE H",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041495",
            "telephone_number": "847-255-8690",
            "fax_number": "847-255-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N WILKE RD",
            "address_2": "SUITE H",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041495",
            "telephone_number": "847-255-8690",
            "fax_number": "847-255-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREN",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "3433-026",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WELSFORD",
            "middle_name": "KATHRYN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.