Organization Active NPI

Nova Occupational Therapy P.C

  • Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1790233096
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
056009507 Issued in IL
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Mrs. Lamaree Charisse Garcia, OTR/LNPI 1497208011
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.