Active NPI
Amy L Marshall, OT
- Occupational Therapist
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056011759
- Practice address
- 724 Florsheim Dr
Libertyville, IL 60048-3757 - Phone
- (847) 918-9077
- Fax
- (847) 918-9770
- NPI assigned
- Jan 31, 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 | 056011759 | IL | Primary |
Addresses
Primary practice location
724 Florsheim Dr
Libertyville, IL 60048-3757
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
724 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
1919 Skokie Valley Rd
Highland Park, IL 60035
Phone (224) 765-5500
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
1352 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 549-1460
724 Florsheim Dr
Libertyville, IL 60048
Phone (847) 247-4000
1600 16th St
Ste T14
Oak Brook, IL 60523
Phone (630) 572-9700
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
521 Green Bay Rd
Wilmette, IL 60091
Phone (847) 724-4864
521 Green Bay Rd
Fl 2
Wilmette, IL 60091
Phone (847) 724-4864
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1477090215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RAND RD STE 300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162359",
"telephone_number": "847-324-3976",
"fax_number": "847-929-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 FLORSHEIM DR",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483757",
"telephone_number": "847-918-9077",
"fax_number": "847-918-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "AMY",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056011759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.