Individual provider Active NPI

Kristy Anne Zarley, O.T.R/L

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1780692319
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.004143 Issued in IL
Practice address
1157 W Newport Ave
Unit C
Chicago, IL 60657-1664
Phone
(773) 549-6641
NPI assigned
Aug 3, 2006
Last updated
Jun 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.004143 IL Primary

Addresses

Primary practice location

1157 W Newport Ave
Unit C
Chicago, IL 60657-1664

Mailing address

1157 W Newport Ave
Unit C
Chicago, IL 60657-1664
Phone (773) 549-6641

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
056.004143ILMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Tots, Inc. 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, 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307232000000",
    "number": "1780692319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 W NEWPORT AVE",
            "address_2": "UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571664",
            "telephone_number": "773-549-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 W NEWPORT AVE",
            "address_2": "UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571664",
            "telephone_number": "773-549-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARLEY",
        "first_name": "KRISTY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "O.T.R/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.004143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; 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.