Individual provider Active NPI

Mary Saritha Raj, OTR

  • Occupational Therapist
  • Mount Morris, IL
National Provider Identifier
1730349366
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056007787 Issued in IL
Practice address
102 S Mulberry Ave
Mount Morris, IL 61054-1365
Phone
(815) 483-3068
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Solutions Inc 4 clinicians

Practice addresses (Care Compare)

810 E Woodfield Rd
Schaumburg, IL 60173-4714
Phone (847) 240-2000

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
75.61

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109001701 IL Practitioner - Occupational Therapist in Private Practice 8820445026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Solutions Inc CurrentSince Sep 27, 2023 Accepting new patients

Locations

810 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 240-2000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056007787 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

102 S Mulberry Ave
Mount Morris, IL 61054-1365

Mailing address

102 S Mulberry Ave
Mount Morris, IL 61054-1365
Phone (815) 483-3068

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2008.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1730349366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MULBERRY AVE",
            "city": "MOUNT MORRIS",
            "state": "IL",
            "postal_code": "610541365",
            "telephone_number": "815-483-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MULBERRY AVE",
            "city": "MOUNT MORRIS",
            "state": "IL",
            "postal_code": "610541365",
            "telephone_number": "815-483-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "MARY",
        "middle_name": "SARITHA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.