Active NPI
Erin Glim, OTR/L
- Occupational Therapist
- Orland Park, IL
National Provider Identifier
1467999300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.011336
- Practice address
- 15127 S 73Rd Ave Ste C
Orland Park, IL 60462-3463 - Phone
- (708) 586-9303
- NPI assigned
- Jan 30, 2017
- Last updated
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.011336 | IL | Primary |
Addresses
Primary practice location
15127 S 73Rd Ave Ste C
Orland Park, IL 60462-3463
Mailing address
1005 W Laraway Rd Ste 230
New Lenox, IL 60451-4117
Phone (630) 217-3590
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 |
|---|---|---|---|
| 056.011336 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1467999300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W LARAWAY RD STE 230",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604514117",
"telephone_number": "630-217-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15127 S 73RD AVE STE C",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623463",
"telephone_number": "708-586-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIM",
"first_name": "ERIN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.