Active NPI
Jazmin Zamora, MS, OTR/L
- Occupational Therapist
- Tinley Park, IL
National Provider Identifier
1508423724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056012945
- Practice address
- 7803 W 159TH St
Tinley Park, IL 60477-1343 - Phone
- (815) 469-1500
- NPI assigned
- May 22, 2019
- 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 | 056012945 | IL | Primary |
Addresses
Primary practice location
7803 W 159TH St
Tinley Park, IL 60477-1343
Mailing address
7803 W 159TH St
Tinley Park, IL 60477-1343
Phone (815) 469-1500
Other practice location 1
10201 S Cicero Ave
Oak Lawn, IL 60453-4098
Phone (708) 232-8763
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 |
|---|---|---|---|
| 056012945 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Childrens Therapy | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1508423724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7803 W 159TH ST",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771343",
"telephone_number": "815-469-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7803 W 159TH ST",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771343",
"telephone_number": "815-469-1500"
}
],
"practiceLocations": [
{
"address_1": "10201 S Cicero Ave",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604534098",
"country_code": "US",
"telephone_number": "708-232-8763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAMORA",
"first_name": "JAZMIN",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056012945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.