Active NPI
Joshua Inventor, O.T.
- Occupational Therapist
- Berwyn, IL
National Provider Identifier
1700200797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056008756
- Practice address
- 3303 Grove Ave
Unit 311
Berwyn, IL 60402-3432 - Phone
- (870) 324-0251
- NPI assigned
- Feb 11, 2014
- Sex
- Male
- 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 | 056008756 | IL | Primary |
Addresses
Primary practice location
3303 Grove Ave
Unit 311
Berwyn, IL 60402-3432
Mailing address
3303 Grove Ave
Unit 311
Berwyn, IL 60402-3432
Phone (870) 324-0251
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": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1700200797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 GROVE AVE",
"address_2": "UNIT 311",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023432",
"telephone_number": "870-324-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 GROVE AVE",
"address_2": "UNIT 311",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023432",
"telephone_number": "870-324-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INVENTOR",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056008756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.