Active NPI
Linda Bareis, BS
- Occupational Therapist
- La Grange Park, IL
National Provider Identifier
1649311424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056001567
- Practice address
- 407 N la Grange Rd
La Grange Park, IL 60526-5623 - Phone
- (708) 482-9320
- Fax
- (708) 482-9760
- NPI assigned
- Feb 12, 2007
- Last updated
- Jan 17, 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 Therapist | 225X00000X | 056001567 | IL | Primary |
Addresses
Primary practice location
407 N la Grange Rd
La Grange Park, IL 60526-5623
Mailing address
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154-5745
Phone (708) 236-2673
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)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056001567 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Past | 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, 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": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1649311424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTBROOK CORPORATE CTR",
"address_2": "STE 240",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545745",
"telephone_number": "708-236-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N LA GRANGE RD",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605265623",
"telephone_number": "708-482-9320",
"fax_number": "708-482-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAREIS",
"first_name": "LINDA",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056001567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.