Individual provider Active NPI

Heather Dawn Dekrey, OTR/L

  • Occupational Therapist
  • Frankfort, IL
National Provider Identifier
1740437664
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056005332 Issued in IL
Practice address
39 E Colorado Ave
Frankfort, IL 60423-1385
Phone
(815) 469-1118
Fax
(815) 469-1119
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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 056005332 IL Primary

Addresses

Primary practice location

39 E Colorado Ave
Frankfort, IL 60423-1385

Mailing address

25063 Clare Cir
Manhattan, IL 60442-1437
Phone (815) 922-7448

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
056005332ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1740437664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25063 CLARE CIR",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604421437",
            "telephone_number": "815-922-7448",
            "fax_number": "815-478-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "815-469-1118",
            "fax_number": "815-469-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKREY",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.