Active NPI
Kelly Temiz, BS
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1609024454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056-008059
- Practice address
- 6000 W Touhy Ave
Suite 202
Chicago, IL 60646-1275 - Phone
- (773) 774-4291
- Fax
- (773) 774-4527
- NPI assigned
- Sep 5, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-008059 | IL | Primary |
Addresses
Primary practice location
6000 W Touhy Ave
Suite 202
Chicago, IL 60646-1275
Mailing address
6000 W Touhy Ave
Suite 202
Chicago, IL 60646-1275
Phone (773) 774-4291
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)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-008059 | IL | MD | Occupational Therapist |
Interoperability endpoints
- kelly.temiz.p2@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1609024454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 W TOUHY AVE",
"address_2": "SUITE 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606461275",
"telephone_number": "773-774-4291",
"fax_number": "773-774-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 W TOUHY AVE",
"address_2": "SUITE 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606461275",
"telephone_number": "773-774-4291",
"fax_number": "773-774-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMIZ",
"first_name": "KELLY",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-008059",
"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 Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.