Laqueishia S. Cummins-Omosebi

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056013217 Issued in IL

Practice address

1222 Hickory Rd
Homewood, IL 60430-2402

Phone

(773) 354-3878

NPI assigned

Sep 11, 2019

Last updated

Oct 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1649829631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 HICKORY RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302402",
            "telephone_number": "773-354-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 HICKORY RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302402",
            "telephone_number": "773-354-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS-OMOSEBI",
        "first_name": "LAQUEISHIA",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Homewood, IL
• Providers in Homewood, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.