Active NPI
Nicole Gagnet, MS, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1497273064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.013639
- Practice address
- 310 N Loomis St
Chicago, IL 60607-1147 - Phone
- (312) 243-8487
- NPI assigned
- Sep 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Occupational Therapist | 225X00000X | 056.013639 | IL | Primary |
Addresses
Primary practice location
310 N Loomis St
Chicago, IL 60607-1147
Mailing address
7660 Pebble Creek Drive
Maumee, OH 43537
Other practice location 1
7660 Pebble Creek Dr
Maumee, OH 43537-9698
Phone (419) 360-4934
Other practice location 2
19100 Crescent Dr Ste 101
Mokena, IL 60448-7526
Phone (708) 478-5400
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.013639 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Can DO, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Mokena, IL
- NPI 1861559585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1497273064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7660 PEBBLE CREEK DRIVE",
"city": "MAUMEE",
"state": "OH",
"postal_code": "43537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071147",
"telephone_number": "312-243-8487"
}
],
"practiceLocations": [
{
"address_1": "7660 Pebble Creek Dr",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435379698",
"country_code": "US",
"telephone_number": "419-360-4934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19100 Crescent Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604487526",
"country_code": "US",
"telephone_number": "708-478-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGNET",
"first_name": "NICOLE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.013639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.