Rachael Marie Nick, OTR/L
Individual provider Active NPI Occupational Therapist · Lindenhurst, IL
NPI 1720673221 · NPPES record last updated Oct 4, 2024
Key facts
- NPI
- 1720673221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6930-26 (WI)
- Practice address
- 2125 Fairfield Rd
Lindenhurst, IL 60046-9232 - Phone
- (847) 802-0664
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6930-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Theraplay Inc. | Occupational Therapist | Current |
Accepting new patients |
| Medical Support Services Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6930-26 | WI | Yes |
Addresses
Primary practice location
2125 Fairfield Rd
Lindenhurst, IL 60046-9232
Mailing address
2125 Fairfield Rd
Lindenhurst, IL 60046-9232
Phone (847) 802-0664
Other providers in Lindenhurst, IL
- Jessica Morris
- Jennifer Nadra
- Nala'S Rose
- Natural Care Chiropractic PC
- NCC Natural Care Chiropractic, SC
- Karen Nolan
- North Suburban Physical Therapy, P.C.
- Northern Illinois Chiropractic LTD
- Ginger Olson
- Karyn M Olszak
All providers in Lindenhurst, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.