Active NPI
Ann M Vinz, OTR, CHT
- Occupational Therapist
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056012515
- Practice address
- 324 Roxbury Rd
Rockford, IL 61107-5090 - Phone
- (815) 398-9491
- Fax
- (815) 381-7498
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056012515 | IL | Primary |
Addresses
Primary practice location
324 Roxbury Rd
Rockford, IL 61107-5090
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JORDANN | Other | WI | MERCYCARE INSURANCE |
| 1780735480 | Medicaid | WI |
Other names 1
- Ann M Jordan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056012515 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Orthomidwest, PLLC | Occupational Therapist | Current | Accepting new patients |
| Mercy Health System Corporation | Occupational Therapist | Current | Accepting new patients |
| Mercy Health System Corporation | Occupational Therapist | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270
324 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7339
535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
557 N Washington St
Janesville, WI 53548
Phone (608) 754-6000
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Interoperability endpoints
- ann.vinz@ro.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
Occupational Therapist
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1780735480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735263",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075090",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINZ",
"first_name": "ANN",
"middle_name": "M",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056012515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE INSURANCE",
"identifier": "JORDANN",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780735480",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "JORDAN",
"middle_name": "M",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockford, IL
- Alejandra Villagomez
- Omar Mijael Villarroel Fernandez, MD
- Betty Lou Villiers, APN
- Vincent Facchiano and Associates
- Alix Vincent, MD
- Cori Viola, LPC
- Virtual Cardiology, LLC
- Visionworks, Inc (Visionworks)
- Visiting Nurses Association of the Rockford Area (Rockford Health System DBA VNA Pharmacy)
- Visiting Nurses Association of the Rockford Area (Positive Reflections)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.