Active NPI
Ann Marie Olson, COTA/L
- Occupational Therapy Assistant
- Downers Grove, IL
National Provider Identifier
1639651094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057.000638
- Practice address
- 3450 Saratoga Ave.
Downers Grove, IL 60515 - Phone
- (630) 969-9360
- NPI assigned
- Sep 2, 2018
- 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 Therapy Assistant | 224Z00000X | 057.000638 | IL | Primary |
Addresses
Primary practice location
3450 Saratoga Ave.
Downers Grove, IL 60515
Mailing address
3640 Saratog Ave
Downers Grove, IL 60515
Phone (630) 969-9360
Other practice location 1
14342 S Boulder Dr
Homer Glen, IL 60491
Phone (708) 301-5294
Other names 1
- Ann Marie Connellhy
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 |
|---|---|---|---|
| 057.000638 | IL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535846400000",
"number": "1639651094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 SARATOG AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-969-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 SARATOGA AVE.",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-969-9360"
}
],
"practiceLocations": [
{
"address_1": "14342 S Boulder Dr",
"address_purpose": "LOCATION",
"city": "Homer Glen",
"state": "IL",
"postal_code": "60491",
"country_code": "US",
"telephone_number": "708-301-5294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-02",
"last_updated": "2018-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057.000638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "CONNELLHY",
"middle_name": "MARIE",
"credential": "COTA/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.