Active NPI
Abigail Rose Willinger, DOT
- Pediatric Occupational Therapist
- North Riverside, IL
National Provider Identifier
1497243869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056015790
- Practice address
- 2309 Keystone Ave
North Riverside, IL 60546-1334 - Phone
- (708) 284-1900
- NPI assigned
- May 1, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-34056 | IL | |
| Pediatric Occupational Therapist | 225XP0200X | 056015790 | IL | Primary |
Addresses
Primary practice location
2309 Keystone Ave
North Riverside, IL 60546-1334
Mailing address
2309 Keystone Ave
North Riverside, IL 60546-1334
Phone (708) 284-1900
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 |
|---|---|---|---|
| RBT-17-34056 | IL | MD | Behavior Technician |
| 056015790 | IL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1497243869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 KEYSTONE AVE",
"city": "NORTH RIVERSIDE",
"state": "IL",
"postal_code": "605461334",
"telephone_number": "708-284-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 KEYSTONE AVE",
"city": "NORTH RIVERSIDE",
"state": "IL",
"postal_code": "605461334",
"telephone_number": "708-284-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLINGER",
"first_name": "ABIGAIL",
"middle_name": "ROSE",
"credential": "DOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-17-34056",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056015790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Riverside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.