Active NPI
Sheri Lynn Smith
- Occupational Therapist
- Burr Ridge, IL
National Provider Identifier
1679339212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.003167
- Practice address
- 6801 High Grove Blvd
Burr Ridge, IL 60527-7585 - Phone
- (630) 920-2900
- NPI assigned
- Feb 21, 2024
- 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 | 056.003167 | IL | Primary |
Addresses
Primary practice location
6801 High Grove Blvd
Burr Ridge, IL 60527-7585
Mailing address
17443 Yakima Dr
Lockport, IL 60441-8834
Phone (815) 671-6923
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": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1679339212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17443 YAKIMA DR",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604418834",
"telephone_number": "815-671-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 HIGH GROVE BLVD",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277585",
"telephone_number": "630-920-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHERI",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.003167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.