Active NPI
John Boyce Robinson Jr.
- Occupational Therapy Assistant
- Rolling Meadows, IL
National Provider Identifier
1508333592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057.003573
- Practice address
- 4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005 - Phone
- (847) 397-2400
- NPI assigned
- Oct 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 057.003573 | IL | Primary |
Addresses
Primary practice location
4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005
Mailing address
720 W Bode Cir Apt 117
Hoffman Estates, IL 60169-2920
Phone (847) 312-0558
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 |
|---|---|---|---|
| 057.003573 | IL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540684800000",
"number": "1508333592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W BODE CIR APT 117",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601692920",
"telephone_number": "847-312-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 KIRCHOFF RD",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600082005",
"telephone_number": "847-397-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JOHN",
"middle_name": "BOYCE",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-28",
"last_updated": "2018-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057.003573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.