Individual provider Active NPI

Heather Lynn Morningstar, MOT, OTRL

  • Pediatric Occupational Therapist
  • Antioch, IL
National Provider Identifier
1639377252
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056-005853 Issued in IL
Practice address
311 W Depot St
Suite F
Antioch, IL 60002-1500
Phone
(847) 838-8085
Fax
(224) 788-8121
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056-005853 IL Primary

Addresses

Primary practice location

311 W Depot St
Suite F
Antioch, IL 60002-1500

Mailing address

23928 125TH St
Trevor, WI 53179-9429
Phone (847) 323-8057

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

LicenseStateTypeSpecialty
056-005853ILMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope's Playground Pediatric Therapy, Inc. Pediatrics Past Accepting new patients
Hope's Playground Pediatric Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1639377252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23928 125TH ST",
            "city": "TREVOR",
            "state": "WI",
            "postal_code": "531799429",
            "telephone_number": "847-323-8057",
            "fax_number": "224-788-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W DEPOT ST",
            "address_2": "SUITE F",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021500",
            "telephone_number": "847-838-8085",
            "fax_number": "224-788-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNINGSTAR",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MOT, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056-005853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.