Individual provider Active NPI

Cassandra Mae McManus, MOT, OTR/L

  • Occupational Therapist
  • Morton Grove, IL
National Provider Identifier
1548750771
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056012366 Issued in IL
Practice address
6842 Lyons St
Morton Grove, IL 60053-1308
Phone
(815) 603-2764
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056012366 IL Primary

Addresses

Primary practice location

6842 Lyons St
Morton Grove, IL 60053-1308

Mailing address

2012 W Fletcher St Apt 1
Chicago, IL 60618-6418
Phone (815) 603-2764

Other practice location 1

221 E Saint Charles Rd
Villa Park, IL 60181-2471
Phone (815) 603-2764

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

LicenseStateTypeSpecialty
056012366ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cdot Services LLC Occupational Therapist Current 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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1548750771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 W FLETCHER ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186418",
            "telephone_number": "815-603-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 LYONS ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531308",
            "telephone_number": "815-603-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 E Saint Charles Rd",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "IL",
            "postal_code": "601812471",
            "country_code": "US",
            "telephone_number": "815-603-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "CASSANDRA",
        "middle_name": "MAE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.