Active NPI
Courtney Lyn Murray, MOT OTRL
- Pediatric Occupational Therapist
- Northbrook, IL
National Provider Identifier
1578748851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056008025
- Practice address
- 350 Lee Rd
Northbrook, IL 60062 - Phone
- (847) 562-2100
- Fax
- (847) 562-2112
- NPI assigned
- Jan 4, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056008025 | IL | Primary |
Addresses
Primary practice location
350 Lee Rd
Northbrook, IL 60062
Mailing address
40W310 Lafox Rd # 1
St Charles, IL 60175-6588
Phone (630) 444-0077
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 |
|---|---|---|---|
| 056008025 | IL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1578748851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40W310 LAFOX RD # 1",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601756588",
"telephone_number": "630-444-0077",
"fax_number": "630-444-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "60062",
"telephone_number": "847-562-2100",
"fax_number": "847-562-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "COURTNEY",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "MOT OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-04",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056008025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.