Carly Nicole Decker, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.009784 Issued in IL

Practice address

929 W Foster Ave
Chicago, IL 60640-1491

Phone

(812) 236-9501

NPI assigned

Jan 9, 2012

Last updated

Mar 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1750651659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401491",
            "telephone_number": "812-236-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401491",
            "telephone_number": "812-236-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "CARLY",
        "middle_name": "NICOLE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "99049402A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauran Claire Deceault, PA-C
• Alexa Marie Deceglia, OTRL
• Esther Decero, LPC
• Decisive Edge, P.C. (Floss and Company)
• Brianna Decker
• Daniel Glenn Decker, PHARM D
• Debra Eve Decker, COTA
• Genevieve Decker, DNP. AGACNP-BC
• Nicole Decker, OD
• Paul Xavier Decker, M.D.

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.