Individual provider Active NPI

Jamie Yu, MOT OTR/L

  • Occupational Therapist
  • Schiller Park, IL
National Provider Identifier
1770099533
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014750 Issued in IL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
056.014750ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyas Landing, Inc. Pediatrics PastSince Mar 1, 2022 Accepting new patients
Blue Bird Day LLC Pediatrics PastSince Aug 1, 2022 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.

Verify at the official NPI Registry.