Active NPI
Laura Ann Hallman, MA OTRL
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1659314029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056007456
- Practice address
- 939 W Madison St
Ste 103
Chicago, IL 60607 - Phone
- (866) 868-0764
- Fax
- (312) 492-7953
- NPI assigned
- Jun 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 056007456 | IL | |
| Occupational Therapist | 225X00000X | 056007456 | IL | Primary |
Addresses
Primary practice location
939 W Madison St
Ste 103
Chicago, IL 60607
Mailing address
PO Box 3497
Sturtevant, WI 53177-0300
Phone (877) 552-2996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00451772 | Other | IL | RAILROAD MEDICARE |
Other names 1
- Laura Ann Smid
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic and Rehabilitation Excellence LLC | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1477566081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1659314029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3497",
"city": "STURTEVANT",
"state": "WI",
"postal_code": "531770300",
"telephone_number": "877-552-2996",
"fax_number": "866-245-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 W MADISON ST",
"address_2": "STE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60607",
"telephone_number": "866-868-0764",
"fax_number": "312-492-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLMAN",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "MA OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "056007456",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056007456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00451772",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "SMID",
"middle_name": "ANN",
"credential": "MA OTRL",
"code": "1",
"type": "Former Name"
}
]
}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 May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.