Active NPI
Nova Occupational Therapy P.C
- Rehabilitation Clinic/Center
- Chicago, IL
National Provider Identifier
1790233096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 056009507
- Legal business name
- NOVA OCCUPATIONAL THERAPY P.C
- Practice address
- 3000 S Pulaski Rd
Chicago, IL 60623-4458 - Phone
- (312) 912-2624
- NPI assigned
- Sep 14, 2016
- Last updated
- Oct 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lamaree Charisse Garcia, OTR/L
- Title
- Direct Owner
- Phone
- (312) 912-2624
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 056009507 | IL | Primary |
Addresses
Primary practice location
3000 S Pulaski Rd
Chicago, IL 60623-4458
Mailing address
3000 S Pulaski Rd
Chicago, IL 60623-4458
Phone (773) 475-7651
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Chicago, IL
- NPI 1497208011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476316800000",
"number": "1790233096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234458",
"telephone_number": "773-475-7651",
"fax_number": "773-475-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234458",
"telephone_number": "312-912-2624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA OCCUPATIONAL THERAPY P.C",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-14",
"last_updated": "2016-10-13",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "LAMAREE",
"authorized_official_middle_name": "CHARISSE",
"authorized_official_title_or_position": "DIRECT OWNER",
"authorized_official_telephone_number": "312-912-2624",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "IL",
"license": "056009507",
"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 Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.