Active NPI
Courtney Erin Doyle, MOT, OTR/L
- Gerontology Occupational Therapist
- Mokena, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- Practice address
- 19100 Crescent Dr
Mokena, IL 60448 - Phone
- (708) 478-5300
- NPI assigned
- Feb 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056.008244 | IL | |
| Gerontology Occupational Therapist | 225XG0600X | Primary |
Addresses
Primary practice location
19100 Crescent Dr
Mokena, IL 60448
Mailing address
19100 Crescent Dr
Mokena, IL 60448-7501
Phone (708) 478-5300
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 McHenry Rd
Buffalo Grove, IL 60089-1705
Phone (847) 537-5000
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.008244 | IL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Current | Accepting new patients | |
| Paxxon Healthcare Services LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Gerontology | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Current | Accepting new patients |
Locations
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
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.
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Gerontology
-
- Physical Therapist
- Oak Park, IL
- NPI 1063784148
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1477731289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19100 CRESCENT DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "604487501",
"telephone_number": "708-478-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19100 CRESCENT DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "60448",
"telephone_number": "708-478-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "COURTNEY",
"middle_name": "ERIN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056.008244",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.