Active NPI
Cynthia M Dodick, OTR/L
- Occupational Therapist
- Wilmette, IL
National Provider Identifier
1659513117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.001563
- Practice address
- 225 Westmoreland Dr
Wilmette, IL 60091-3059 - Phone
- (847) 853-6131
- Fax
- (847) 853-6132
- NPI assigned
- Mar 30, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.001563 | IL | Primary |
| Environmental Modification Occupational Therapist | 225XE0001X | 056.001563 | IL | |
| Hand Occupational Therapist | 225XH1200X | 056.001563 | IL | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 056.001563 | IL | |
| Pediatric Occupational Therapist | 225XP0200X | 056.001563 | IL |
Addresses
Primary practice location
225 Westmoreland Dr
Wilmette, IL 60091-3059
Mailing address
225 Westmoreland Dr
Wilmette, IL 60091-3059
Phone (847) 853-6131
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 |
|---|---|---|---|
| 056.001563 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1659513117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WESTMORELAND DR",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600913059",
"telephone_number": "847-853-6131",
"fax_number": "847-853-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WESTMORELAND DR",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600913059",
"telephone_number": "847-853-6131",
"fax_number": "847-853-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODICK",
"first_name": "CYNTHIA",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-30",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.001563",
"primary": true
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "IL",
"license": "056.001563",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IL",
"license": "056.001563",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "IL",
"license": "056.001563",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056.001563",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.