Individual provider Active NPI

Hayley Younkin-Wilson, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1467970814
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.012059 Issued in IL
Practice address
811 W Evergreen Ave Ste 404
Chicago, IL 60642-7113
Phone
(314) 348-8687
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 056.012059 IL Primary

Addresses

Primary practice location

811 W Evergreen Ave Ste 404
Chicago, IL 60642-7113

Mailing address

2301 W 19TH St Apt 3R
Chicago, IL 60608-2516
Phone (314) 348-8687

Other names 1

  • Hayley Younkin 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
056.012059ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1467970814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W 19TH ST APT 3R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082516",
            "telephone_number": "314-348-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W EVERGREEN AVE STE 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427113",
            "telephone_number": "314-348-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNKIN-WILSON",
        "first_name": "HAYLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.012059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "YOUNKIN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 6, 2017; 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.