Individual provider Active NPI

Otto Kramer Jr.

  • Occupational Therapist
  • Orland Park, IL
National Provider Identifier
1710693510
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014778 Issued in IL
Practice address
15255 S 94TH Ave FL 5
Orland Park, IL 60462-3800
Phone
(708) 280-5640
NPI assigned
Jan 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014778 IL Primary

Addresses

Primary practice location

15255 S 94TH Ave FL 5
Orland Park, IL 60462-3800

Mailing address

15255 S 94TH Ave FL 5
Orland Park, IL 60462-3800
Phone (708) 280-5640

Other practice location 1

15255 S Harlem Ave
Orland Park, IL 60462-4329
Phone (708) 226-9200

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

LicenseStateTypeSpecialty
056.014778ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1710693510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE FL 5",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623800",
            "telephone_number": "708-280-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE FL 5",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623800",
            "telephone_number": "708-280-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604624329",
            "country_code": "US",
            "telephone_number": "708-226-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "OTTO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.