NPIMap

Individual provider Active NPI

Rene Felice, COTA

  • Occupational Therapy Assistant
  • Lombard, IL
National Provider Identifier
1497112593
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
057001307 Issued in IL
Practice address
2020 Saint Regis Dr
Apt. 402
Lombard, IL 60148-6206
Phone
(630) 261-1545
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057001307 IL Primary

Addresses

Primary practice location

2020 Saint Regis Dr
Apt. 402
Lombard, IL 60148-6206

Mailing address

2020 Saint Regis Dr.
Apt. 402
Lombard, IL 60148

Other names 1

  • Mrs. Rene Felice Other 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
057001307ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1497112593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SAINT REGIS DR.",
            "address_2": "APT. 402",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SAINT REGIS DR",
            "address_2": "APT. 402",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486206",
            "telephone_number": "630-261-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICE",
        "first_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057001307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "FELICE",
            "prefix": "MRS.",
            "credential": "COTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.