Active NPI
Jamie Yu, MOT OTR/L
- Occupational Therapist
- Schiller Park, IL
National Provider Identifier
1770099533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.014750
- Practice address
- 3945 Wehrman Ave
Schiller Park, IL 60176-1814 - Phone
- (847) 671-0250
- Fax
- (847) 671-0256
- NPI assigned
- Dec 15, 2017
- Last updated
- Sep 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | 056.014750 | IL | |
| Occupational Therapist | 225X00000X | 056.014750 | IL | Primary |
Addresses
Primary practice location
3945 Wehrman Ave
Schiller Park, IL 60176-1814
Mailing address
3945 Wehrman Ave
Schiller Park, IL 60176-1814
Phone (847) 671-0250
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.014750 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyas Landing, Inc. | Pediatrics | Past | Accepting new patients |
| Blue Bird Day LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1770099533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 WEHRMAN AVE",
"city": "SCHILLER PARK",
"state": "IL",
"postal_code": "601761814",
"telephone_number": "847-671-0250",
"fax_number": "847-671-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 WEHRMAN AVE",
"city": "SCHILLER PARK",
"state": "IL",
"postal_code": "601761814",
"telephone_number": "847-671-0250",
"fax_number": "847-671-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "JAMIE",
"credential": "MOT OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-15",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056.014750",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.014750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schiller Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.