Vanessa Kostopoulos, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056015237 Issued in IL

Practice address

2255 Enterprise Dr Ste 5501
Westchester, IL 60154-5808

Phone

(708) 965-4123

NPI assigned

Apr 4, 2019

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  NPD (past)
• Cortica Developmental Therapies PA

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  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1598227852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 N ORIOLE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142027",
            "telephone_number": "630-240-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 ENTERPRISE DR STE 5501",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545808",
            "telephone_number": "708-965-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOPOULOS",
        "first_name": "VANESSA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056015237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "SZF846563358",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "8607 N Oriole Ave",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607142027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "endpointDescription": "Patient Info",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2255 Enterprise Dr Ste 5501",
            "city": "Westchester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601545808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kindred Hearing Care LLC
• Spero John Kinnas, M.D.
• Sabrina Kinney
• David Klass, M.D.
• Elizabeth Alice Koch, PA-C
• James Isador Kowalsky
• Tracy H. Koziol, MD
• Lauren Sarah Kramer, PA-C
• Bridget Kruger
• Alexis Kruse

• Occupational Therapist in Westchester, IL
• Providers in Westchester, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.