Active NPI
Kam Alecia Wyruchowski, MOT, OTR/L
- Occupational Therapist
- Schaumburg, IL
National Provider Identifier
1720145089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.007476
- Practice address
- 324 N Walnut LN
Schaumburg, IL 60194-3838 - Phone
- (847) 519-0246
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 056.007476 | IL | Primary |
Addresses
Primary practice location
324 N Walnut LN
Schaumburg, IL 60194-3838
Mailing address
324 N Walnut LN
Schaumburg, IL 60194-3838
Phone (847) 519-0246
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.007476 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1720145089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 N WALNUT LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601943838",
"telephone_number": "847-519-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 N WALNUT LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601943838",
"telephone_number": "847-519-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYRUCHOWSKI",
"first_name": "KAM",
"middle_name": "ALECIA",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.007476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.