Active NPI
Vanessa Patkowski, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1598391674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056011418
- Practice address
- 2233 W Division St
Chicago, IL 60622-8151 - Phone
- (312) 770-2000
- NPI assigned
- Mar 20, 2020
- Last updated
- Mar 20, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056011418 | IL | Primary |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-8151
Mailing address
1920 N Damen Ave Apt 3
Chicago, IL 60647-4681
Phone (708) 228-7971
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vanessa.patkowski2@amitahealth.org | Direct |
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 |
|---|---|---|---|
| 056011418 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1598391674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 N DAMEN AVE APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606474681",
"telephone_number": "708-228-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228151",
"telephone_number": "312-770-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATKOWSKI",
"first_name": "VANESSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056011418",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vanessa.patkowski2@amitahealth.org",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2233 W Division St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606228151",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.