Active NPI
Grace King Anderlik, OTR/L
- Occupational Therapist
- Paxton, IL
National Provider Identifier
1497082515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056007095
- Practice address
- 1001 E Pells St
Paxton, IL 60957-1300 - Phone
- (217) 379-4361
- NPI assigned
- Nov 10, 2009
- Last updated
- Nov 10, 2009
- 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 | 056007095 | IL | Primary |
Addresses
Primary practice location
1001 E Pells St
Paxton, IL 60957-1300
Mailing address
1001 E Pells St
Paxton, IL 60957-1300
Phone (217) 379-4361
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 |
|---|---|---|---|
| 056007095 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1497082515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E PELLS ST",
"city": "PAXTON",
"state": "IL",
"postal_code": "609571300",
"telephone_number": "217-379-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E PELLS ST",
"city": "PAXTON",
"state": "IL",
"postal_code": "609571300",
"telephone_number": "217-379-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERLIK",
"first_name": "GRACE",
"middle_name": "KING",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056007095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paxton, IL
- Accolade Healthcare of Paxton LLC
- Accolade Healthcare of Paxton Senior Living LLC
- Accolade Healthcare of Paxton Senior Living LLC
- Accolade Healthcare of the Heartland LLC
- Accolade Healthcare of the Heartland LLC
- Annazette Sale Animas
- Chada Leigh Arnold, BA
- Constance J Arseneau, LCSW
- Asta Care Center of Ford County
- Cara F. Bailey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.