Active NPI
Anita Marie Fox
- Occupational Therapist
- Jacksonville, IL
National Provider Identifier
1558613174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056006007
- Practice address
- 1600 W Walnut St
Jacksonville, IL 62650-1136 - Phone
- (217) 245-9541
- Fax
- (217) 479-5675
- NPI assigned
- Oct 5, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 056006007 | IL | Primary |
Addresses
Primary practice location
1600 W Walnut St
Jacksonville, IL 62650-1136
Mailing address
1103 Mason LN
Winchester, IL 62694-3675
Phone (217) 248-3989
Other practice location 1
1103 Mason Ln
Winchester, IL 62694-3675
Phone (217) 248-3989
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 |
|---|---|---|---|
| 056006007 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tots in Motion Occupational Therapy PLLC | 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.
-
- Occupational Therapist
- Winchester, IL
- NPI 1619677333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1558613174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 MASON LN",
"city": "WINCHESTER",
"state": "IL",
"postal_code": "626943675",
"telephone_number": "217-248-3989",
"fax_number": "217-616-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W WALNUT ST",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501136",
"telephone_number": "217-245-9541",
"fax_number": "217-479-5675"
}
],
"practiceLocations": [
{
"address_1": "1103 Mason Ln",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "IL",
"postal_code": "626943675",
"country_code": "US",
"telephone_number": "217-248-3989",
"fax_number": "217-616-3163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "ANITA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056006007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, IL
- Rebecca Ann Fletcher, LCSW, CADC
- Jennifer G Flinn, FNP
- Foot & Ankle Associates of Central Illinois LLC
- Foot and Ankle Associates of Central Illinois LLC
- Four Rivers Special Education
- Susan D Fox
- FR Vision 360, Inc. (Pearle Vision 8142)
- Roddy Frankel, MD
- Freeman Counseling & Play Therapy, PLLC
- Sarah Freeman, LCSW, LSCSW, RPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.