Active NPI
Kaitlin Miles, MS, OTR/L
- Occupational Therapist
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056011719
- Practice address
- 1675 Dempster St FL 3
Park Ridge, IL 60068-1110 - Phone
- (847) 723-4532
- NPI assigned
- Jan 30, 2020
- Last updated
- Dec 19, 2023
- 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 | 056011719 | IL | Primary |
Addresses
Primary practice location
1675 Dempster St FL 3
Park Ridge, IL 60068-1110
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056011719 | Other | IL | ILLINOIS PROFESSIONAL LICENSE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kaitlin.conway@advocatehealth.com | Direct | Advocate Health and Hospitals Corporation |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | kconway208802@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056011719 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1675 W Dempster St
Park Ridge, IL 60068
Phone (847) 318-9300
1675 W Dempster St
Fl 3
Park Ridge, IL 60068
Phone (847) 318-9330
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1720619547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 DEMPSTER ST FL 3",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681110",
"telephone_number": "847-723-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "KAITLIN",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056011719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PROFESSIONAL LICENSE",
"identifier": "056011719",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kaitlin.conway@advocatehealth.com",
"affiliation": "Y",
"endpointDescription": "Secure Advocate Health Care e-mail address.",
"affiliationName": "Advocate Health and Hospitals Corporation",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Dempster Street",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "60068",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1675 Dempster St Fl 3",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kconway208802@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1675 Dempster St Fl 3",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.