Individual provider Active NPI

Victoria Kore

  • Occupational Therapist
  • Plainfield, IL
National Provider Identifier
1760614788
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056002211 Issued in IL
Practice address
7310 Kenicott LN
Plainfield, IL 60586-4177
Phone
(815) 715-7129
Fax
(815) 642-5127
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 056002211 IL Primary

Addresses

Primary practice location

7310 Kenicott LN
Plainfield, IL 60586-4177

Mailing address

7310 Kenicott LN
Plainfield, IL 60586-4177
Phone (815) 715-7129

Other practice location 1

11531 Swinford Ln
Mokena, IL 60448-9274
Phone (219) 229-0322

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
056002211ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Therapy 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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1760614788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 KENICOTT LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864177",
            "telephone_number": "815-715-7129",
            "fax_number": "815-642-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 KENICOTT LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864177",
            "telephone_number": "815-715-7129",
            "fax_number": "815-642-5127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11531 Swinford Ln",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604489274",
            "country_code": "US",
            "telephone_number": "219-229-0322",
            "fax_number": "708-479-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORE",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056002211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.