Active NPI
Larissa Harima
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1568829026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.011322
- Practice address
- 2500 W Bradley PL
Chicago, IL 60618-4702 - Phone
- (847) 873-5779
- NPI assigned
- Jan 28, 2016
- Last updated
- Feb 27, 2024
- Sex
- Female
- 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 Therapist | 225X00000X | 056.011322 | IL | Primary |
Addresses
Primary practice location
2500 W Bradley PL
Chicago, IL 60618-4702
Mailing address
1455 Westfield Ave
Ann Arbor, MI 48103-5737
Phone (734) 678-2824
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 |
|---|---|---|---|
| 056.011322 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1568829026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 WESTFIELD AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481035737",
"telephone_number": "734-678-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W BRADLEY PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184702",
"telephone_number": "847-873-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARIMA",
"first_name": "LARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011322",
"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 Feb 27, 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.