Tayler Hoekstra White, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-014711 Issued in IL

Practice address

9634 S Pulaski Rd
Oak Lawn, IL 60453-3391

Phone

(708) 423-4800

Fax

(708) 423-4843

NPI assigned

Aug 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1689342388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533391",
            "telephone_number": "708-423-4800",
            "fax_number": "708-423-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TAYLER",
        "middle_name": "HOEKSTRA",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011302",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-014711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Whalen
• Kelly Whirity, RD
• Molly Whitcomb, AUD
• Katlyn J White, APRN-BC
• Samuel Wesley White, MD
• Patricia Whiteside, MD
• Ana-Isabel De la Rosa Whittingham, P.T.
• Whoo'S Caring, Inc.
• Conor M Wierus, DDS
• Andria K Wierzgac, M.S., CCC-SLP/L

• Occupational Therapist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.