Individual provider Active NPI

Megan Jean Dooley

  • Occupational Therapist
  • Rockford, IL
National Provider Identifier
1568865087
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.010108 Issued in IL
Practice address
950 S Mulford Rd
Rockford, IL 61108-4274
Phone
(815) 381-8500
NPI assigned
Sep 29, 2014
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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 056.010108 IL Primary

Addresses

Primary practice location

950 S Mulford Rd
Rockford, IL 61108-4274

Mailing address

10850 Norman Ave
Machesney Park, IL 61115-7459
Phone (701) 320-2488

Other names 1

  • Megan Dooley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, MT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200612000469 ND Practitioner - Occupational Therapist in Private Practice 8123440567 Reassigns benefits to 1 organization
I20210312000781 MN Practitioner - Occupational Therapist in Private Practice 8123440567 Reassigns benefits to 1 organization
I20231010003885 MT Practitioner - Occupational Therapist in Private Practice 8123440567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Therapy Solutions and Consulting LLCGroup PAC ID 1759703192, 17 clinicians

Practice addresses (Care Compare)

2550 Windsor PL N
Mandan, ND 58554-8151
Phone (701) 320-2488

587 Joliet Fromberg Rd
Fromberg, MT 59029-9501
Phone (701) 638-8106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.010108ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapy Solutions & Consulting LLC Occupational Therapist CurrentSince Apr 30, 2020 Accepting new patients

Locations

1929 N Washington St
Ste H
Bismarck, ND 58501
Phone (701) 220-0479

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1568865087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 NORMAN AVE",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611157459",
            "telephone_number": "701-320-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084274",
            "telephone_number": "815-381-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "MEGAN",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.010108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DOOLEY",
            "credential": "O.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.