Mary Anne Landreth, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-007516 Issued in IL

Practice address

9645 S Western Ave
Chicago, IL 60643-1722

Phone

(773) 239-2734

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mary A Dykstra Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.49 of 100Reported as group

Quality

90

Improvement activities

40

Cost

73.3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 29)

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.

• Athletic and Therapeutic Institute of Naperville LLC

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  Medicare reassignment Care Compare group NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1861503542
  Medicare reassignment NPD
• Illinois Bone and Joint Institute LLC

  • Orthopaedic Surgery Physician
  • Bannockburn, IL
  • NPI 1205922432
  Medicare reassignment NPD
• Midwest Orthopedic Consultants SC

  • Orthopaedic Surgery Physician
  • Orland Park, IL
  • NPI 1457373953
  Medicare reassignment NPD
• Hinsdale Orthopaedic Associates, S.C.

  • Orthopaedic Surgery Physician
  • Hinsdale, IL
  • NPI 1235217209
  Medicare reassignment
• Athletic & Therapeutic Institute of Bourbonnais, LLC

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1629397401
  NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbia, IL
  • NPI 1124766696

  Occupational Therapist

  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hazel Crest, IL
  • NPI 1043952641
  NPD
• Illinois Bone and Joint Institute, LLC

  • Orthopaedic Surgery Physician
  • Arlington Heights, IL
  • NPI 1962219568
  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • Winfield, IL
  • NPI 1265597157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1790796985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431722",
            "telephone_number": "773-239-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-007516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00796509",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "056007516",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DYKSTRA",
            "middle_name": "A",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Landolfi, LCSW
• Emily Landon
• Winifred Rose Landon, LSW
• Magdalena Landowski, APRN
• William Richard Landphair, D.O.
• Ashly-Jourdyn Landry, NP
• Blythe Landry, LCSW, M.ED
• Jill Landry, PT
• Katie R Landry
• Kelly Marie Landry, MD

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.