Active NPI
Gretchen M Riser, OTR/L CHT
- Hand Occupational Therapist
- Decatur, IL
National Provider Identifier
1801825765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 056005433
- Practice address
- 304 W Hay St
Suite 215
Decatur, IL 62526-6328 - Phone
- (217) 875-4263
- Fax
- (217) 872-5481
- NPI assigned
- Jul 2, 2006
- Last updated
- May 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 056005433 | IL | Primary |
Addresses
Primary practice location
304 W Hay St
Suite 215
Decatur, IL 62526-6328
Mailing address
304 W Hay St
Suite 215
Decatur, IL 62526-6328
Phone (217) 875-4263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00048436 | Other | IL | RAILROAD MEDICARE |
| 05832033 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056005433 | IL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Current | Accepting new patients | |
| Comprehensive Therapeutics LTD | Current | Accepting new patients | |
| JMS Hand Associates, S.C. | Past | Accepting new patients | |
| JMS Hand Associates SC | Past | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Orthopaedic Hand Surgery Physician
- Decatur, IL
- NPI 1831234764
-
- Durable Medical Equipment & Medical Supplies
- Decatur, IL
- NPI 1043355480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1801825765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W HAY ST",
"address_2": "SUITE 215",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266328",
"telephone_number": "217-875-4263",
"fax_number": "217-872-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W HAY ST",
"address_2": "SUITE 215",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266328",
"telephone_number": "217-875-4263",
"fax_number": "217-872-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISER",
"first_name": "GRETCHEN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR/L CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IL",
"license": "056005433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00048436",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05832033",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.