Active NPI
Angela Irene Winchester
- Occupational Therapist
- Palos Hills, IL
National Provider Identifier
1669017836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 10400 S Roberts Rd
Palos Hills, IL 60465-1972 - Phone
- (360) 317-6288
- NPI assigned
- Nov 12, 2019
- 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 | Primary |
Addresses
Primary practice location
10400 S Roberts Rd
Palos Hills, IL 60465-1972
Mailing address
19255 Manchester Dr
Mokena, IL 60448-7747
Phone (360) 317-6288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W52200968935 | Other | IL | OTHER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awinchester@infinityrehab.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1669017836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19255 MANCHESTER DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "604487747",
"telephone_number": "360-317-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 S ROBERTS RD",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651972",
"telephone_number": "360-317-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCHESTER",
"first_name": "ANGELA",
"middle_name": "IRENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "W52200968935",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awinchester@infinityrehab.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "19255 Manchester Dr",
"city": "Mokena",
"state": "IL",
"country_code": "US",
"postal_code": "604487747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.