Christina Ann Eaker, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056006794 Issued in IL

Practice address

2136 Vadalabene Dr
Suite D
Maryville, IL 62062-5632

Phone

(618) 288-4677

Fax

(618) 288-4699

NPI assigned

Jul 8, 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 names 1

• Christina Ann Boyd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Apex Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Glen Carbon, IL
  • NPI 1376590307

  Occupational Therapist

  NPD (past)
• Apex Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Centerton, AR
  • NPI 1710732607
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1821021635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-651-0444",
            "fax_number": "618-654-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 VADALABENE DR",
            "address_2": "SUITE D",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625632",
            "telephone_number": "618-288-4677",
            "fax_number": "618-288-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKER",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BOYD",
            "middle_name": "ANN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Jean Droege, LCPC
• Heidi Dawn Duff, PA-C
• Jessica Erin Duft, RN
• Connie Ann Dumm, CRNA
• Darren Dunahee, MBA, MSW, LCSW
• Easy Lab Tech, LLC
• Koren Colleen Edwards, CCC-SLP
• Tracy Theresa Ehrhardt, LCPC, ATR-BC
• Claire Eller
• Jennifer Ellis, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.