Active NPI
Amy Susan Brandon, OTR/L
- Occupational Therapist
- Glenview, IL
National Provider Identifier
1639300569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056008008
- Practice address
- 3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223 - Phone
- (847) 998-1188
- NPI assigned
- Jul 27, 2009
- 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 | 056008008 | IL | Primary |
Addresses
Primary practice location
3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223
Mailing address
2789 Stuart Kaplan Dr
Aurora, IL 60503-5601
Phone (630) 499-7345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
58 W Park Ave
Sugar Grove, IL 60554-2208
Phone (630) 504-0758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 6
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.
-
- Physical Therapist
- Oak Park, IL
- NPI 1063784148
Occupational Therapist
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Occupational Therapist
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1639300569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2789 STUART KAPLAN DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605035601",
"telephone_number": "630-499-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 W LAKE AVE",
"address_2": "SUITE 200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261223",
"telephone_number": "847-998-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "AMY",
"middle_name": "SUSAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056008008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.