Active NPI
Emily Terese Norris, D.T.
- Developmental Therapist
- Ottawa, IL
National Provider Identifier
1457571929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- EZ65610802P
- Practice address
- 1428 W Lafayette St
Ottawa, IL 61350-1761 - Phone
- (815) 343-6824
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | EZ65610802P | IL | Primary |
Addresses
Primary practice location
1428 W Lafayette St
Ottawa, IL 61350-1761
Mailing address
1428 W Lafayette St
Ottawa, IL 61350-1761
Phone (815) 343-6824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EZ65610802P | Other | IL | EARLY INTERVENTION CREDEN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| EZ65610802P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457571929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 W LAFAYETTE ST",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501761",
"telephone_number": "815-343-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 W LAFAYETTE ST",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501761",
"telephone_number": "815-343-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "EMILY",
"middle_name": "TERESE",
"credential": "D.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "EZ65610802P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY INTERVENTION CREDEN",
"identifier": "EZ65610802P",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, IL
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- Loni F Nolte
- Alyssa Norman, APRN, CRNA
- North Central Behavioral Health Systems, Inc.
- North Central Behavioral Health Systems, Inc.
- North Central Behavioral Health Systems, Inc.
- North Central Behavioral Health Systems, Inc..
- Northland Hearing Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.