Individual provider Active NPI

Mary Andree Darnall, MS OTR/L

  • Occupational Therapist
  • Oak Park, IL
National Provider Identifier
1760498299
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.000740 Issued in IL
Practice address
136 S Cuyler Ave
Oak Park, IL 60302-2916
Phone
(708) 383-2039
Fax
(708) 386-0418
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.000740 IL Primary
Pediatric Occupational Therapist 225XP0200X 056.000740 IL

Addresses

Primary practice location

136 S Cuyler Ave
Oak Park, IL 60302-2916

Mailing address

136 S Cuyler Ave
Oak Park, IL 60302-2916
Phone (708) 383-2039

Other names 1

  • Mary Andree Darnall PC Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056.000740ILMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Andree Darnall PC Occupational Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1760498299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022916",
            "telephone_number": "708-383-2039",
            "fax_number": "708-386-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022916",
            "telephone_number": "708-383-2039",
            "fax_number": "708-386-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNALL",
        "first_name": "MARY",
        "middle_name": "ANDREE",
        "name_prefix": "Ms.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.000740",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.000740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DARNALL PC",
            "middle_name": "ANDREE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.