Individual provider Active NPI

Molly M Smith, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1447765540
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056011225 Issued in IL
Practice address
2437 N Southport Ave
Chicago, IL 60614-2060
Phone
(773) 472-8400
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056011225 IL Primary

Addresses

Primary practice location

2437 N Southport Ave
Chicago, IL 60614-2060

Mailing address

3519 N Reta Ave Apt 3
Chicago, IL 60657-6598
Phone (269) 908-3802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030001412 IL Practitioner - Occupational Therapist in Private Practice 9537515432 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rex Therapeutics, LLCGroup PAC ID 7315342219, 21 clinicians
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1922 W Sunnyside Ave
Chicago, IL 60640-0205
Phone (312) 709-7209

2155 W Pierce Ave
Chicago, IL 60622-1884
Phone (773) 917-8609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056011225ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Home Therapy LLC Occupational Therapist CurrentSince Sep 2, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 10, 2023 Accepting new patients
Rex Therapeutics, LLC Occupational Therapist CurrentSince Feb 1, 2025 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 10, 2023 Accepting new patients

Locations

2155 W Pierce Ave
Chicago, IL 60622
Phone (773) 252-2066

1390 S Crescent St
Gilman, IL 60938
Phone (414) 721-8669

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

7836 Frontage Rd
Skokie, IL 60077
Phone (414) 721-8669

8140 McCormick Blvd
Ste 141
Skokie, IL 60076
Phone (833) 272-8624

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1447765540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 N RETA AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576598",
            "telephone_number": "269-908-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142060",
            "telephone_number": "773-472-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MOLLY",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011225",
            "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 Dec 12, 2017; 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.