Active NPI
Anne Kristen Gregory, M.O.T
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1508204199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056010012
- Practice address
- 5820 W Irving Park Rd
Chicago, IL 60634-2616 - Phone
- (773) 685-8482
- Fax
- (773) 685-8479
- NPI assigned
- Jun 5, 2013
- 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 | 056010012 | IL | Primary |
Addresses
Primary practice location
5820 W Irving Park Rd
Chicago, IL 60634-2616
Mailing address
162 S Lawndale Ave
Elmhurst, IL 60126-3524
Phone (630) 347-8116
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 |
|---|---|---|---|
| 056010012 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1508204199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 S LAWNDALE AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263524",
"telephone_number": "630-347-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342616",
"telephone_number": "773-685-8482",
"fax_number": "773-685-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "ANNE",
"middle_name": "KRISTEN",
"credential": "M.O.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056010012",
"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 Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.