Active NPI
Sharonda S Yates, MOT, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1649552795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056009081
- Practice address
- 4030 S Cottage Grove Ave
Chicago, IL 60653-2413 - Phone
- (773) 640-0896
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 056009081 | IL | Primary |
Addresses
Primary practice location
4030 S Cottage Grove Ave
Chicago, IL 60653-2413
Mailing address
4030 S Cottage Grove Ave
Chicago, IL 60653-2413
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 |
|---|---|---|---|
| 056009081 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sense Me Rolling LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- South Holland, IL
- NPI 1154291318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1649552795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 S COTTAGE GROVE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606532413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 S COTTAGE GROVE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606532413",
"telephone_number": "773-640-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "SHARONDA",
"middle_name": "S",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056009081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.