Emily Connolly, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010673 Issued in IL

Practice address

9834 S Hamlin Ave
Evergreen Park, IL 60805-3363

Phone

(708) 921-2300

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Bambinos Therapy, Inc.

  • Occupational Therapist
  • Evergreen Park, IL
  • NPI 1316400278
  NPD Authorized official
• Kids in Motion Inc

  • Speech-Language Pathologist
  • Crestwood, IL
  • NPI 1407912140

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1609258755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 S HAMLIN AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053363",
            "telephone_number": "708-921-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 S HAMLIN AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053363",
            "telephone_number": "708-921-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4721 Midlothian Tpke Ste 25",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "IL",
            "postal_code": "604451991",
            "country_code": "US",
            "telephone_number": "708-371-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "EMILY",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.010673",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Cochrane
• Brandon Cohen, DMD
• Colleen Marie Coleman
• Tasha Coleman, MA, LPC
• Colleen Collins-Suglich, PT
• Consultants in Cardiology & Electrophysiololgy LLC
• Consultants in Clinical Pathology
• Consultants in Laboratory Medicine and Pathology, LTD.
• Peggy Lynn Cook, RN
• Core Fitness & Physical Therapy Inc.

• Occupational Therapist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.