Individual provider Active NPI

Kathy Hooyenga, OTR/L , ATP, RET

  • Environmental Modification Occupational Therapist
  • Chicago, IL
National Provider Identifier
1750609079
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
License
056.003142 Issued in IL
Practice address
1640 W Roosevelt Rd
RM 415
Chicago, IL 60608-1316
Phone
(312) 996-3196
Fax
(312) 413-3709
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapist 225XE0001X 056.003142 IL Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 056.003142 IL

Addresses

Primary practice location

1640 W Roosevelt Rd
RM 415
Chicago, IL 60608-1316

Mailing address

1640 W Roosevelt Rd
RM 415
Chicago, IL 60608-1316
Phone (312) 996-3196

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.003142ILMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1750609079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 W ROOSEVELT RD",
            "address_2": "RM 415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081316",
            "telephone_number": "312-996-3196",
            "fax_number": "312-413-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W ROOSEVELT RD",
            "address_2": "RM 415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081316",
            "telephone_number": "312-996-3196",
            "fax_number": "312-413-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOYENGA",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "OTR/L , ATP, RET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "IL",
            "license": "056.003142",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056.003142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.