Mary Lynn Pirro

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1056447 Issued in IL

Practice address

411 E. Congress Parkway, Suite B
Milestone Therapy Center
Crystal Lake, IL 60014

Phone

(815) 459-3810

Fax

(815) 356-3550

NPI assigned

Jun 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milestones Therapy Center P.C.

  • Occupational Therapist
  • Crystal Lake, IL
  • NPI 1275792616
  NPD (past)

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1801116801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E. CONGRESS PARKWAY, SUITE B",
            "address_2": "MILESTONE THERAPY CENTER",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E. CONGRESS PARKWAY, SUITE B",
            "address_2": "MILESTONE THERAPY CENTER",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-459-3810",
            "fax_number": "815-356-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRO",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "1056447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sowjanya Pinnamaneni, P.T.
• Pioneer Center for Human Services
• Pioneer Center for Human Services
• Elizabeth Piotrowski
• Daniel Lee Piper, PSY.D.
• Mark Anthony Pishotta, MA, LCPC, NCC
• Jill Pixley, L.C.S.W
• Ofelia Mirela Pod, DMD
• Tia Poggensee, LCSW
• Kelli Xiao Qing Polit

• Occupational Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.