Individual provider Active NPI

Christine Ann Lichosyt, MOT, OTR/L

  • Pediatric Occupational Therapist
  • St Charles, IL
National Provider Identifier
1639710759
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.013290 Issued in IL
Practice address
525 Tyler Rd Ste Q1
St Charles, IL 60174-3360
Phone
(630) 444-0077
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 056.013290 IL Primary

Addresses

Primary practice location

525 Tyler Rd Ste Q1
St Charles, IL 60174-3360

Mailing address

525 Tyler Rd Ste Q1
St Charles, IL 60174-3360

Other practice location 1

333 W Irving Park Rd Ste 206
Roselle, IL 60172-1134
Phone (630) 893-7995

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ctspediatrics.com Community Therapy Services

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
056.013290ILMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Therapy Corp PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1639710759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE Q1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE Q1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743360",
            "telephone_number": "630-444-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Irving Park Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Roselle",
            "state": "IL",
            "postal_code": "601721134",
            "country_code": "US",
            "telephone_number": "630-893-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHOSYT",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.013290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ctspediatrics.com",
            "affiliation": "Y",
            "affiliationName": "Community Therapy Services",
            "address_1": "525 Tyler Rd Ste Q1",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601743360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.