Individual provider Active NPI

Dawn Oberman, OTR/L

  • Occupational Therapist
  • Libertyville, IL
National Provider Identifier
1760913685
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.011870 Issued in IL
Practice address
800 S Milwaukee Ave
Ste 220
Libertyville, IL 60048-3254
Phone
(184) 791-8797
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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 056.011870 IL Primary

Addresses

Primary practice location

800 S Milwaukee Ave
Ste 220
Libertyville, IL 60048-3254

Mailing address

800 S Milwaukee Ave
Ste 220
Libertyville, IL 60048-3254
Phone (184) 791-8797

Other names 1

  • Dawn Christian Former 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

State licenses

LicenseStateTypeSpecialty
056.011870ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1760913685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE",
            "address_2": "STE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483254",
            "telephone_number": "184-791-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE",
            "address_2": "STE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483254",
            "telephone_number": "184-791-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMAN",
        "first_name": "DAWN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "CHRISTIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.