Active NPI
Lynn M Ray, OTR L
- Occupational Therapist
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 4102 Belmont PT
Champaign, IL 61822 - Phone
- (217) 366-0033
- Fax
- (217) 366-0012
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Primary |
Addresses
Primary practice location
4102 Belmont PT
Champaign, IL 61822
Mailing address
PO Box 6694
Champaign, IL 61826-6694
Phone (217) 366-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
875 W McKinley Ave
Decatur, IL 62526-3287
Phone (217) 615-2523
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056002523 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
Locations
1455 W Mound Rd
Decatur, IL 62526
Phone (217) 247-7300
1145 Arbor Dr
Decatur, IL 62526
Phone (217) 247-7509
1415 W Mound Rd
Decatur, IL 62526
Phone (217) 247-7300
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
1700 W Washington St
Springfield, IL 62702
Phone (217) 553-1974
2423 Taylor Ave
Springfield, IL 62703
2521 Empowerment Rd
Springfield, IL 62703
Phone (217) 321-2100
Organizations & group practices 2
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Occupational Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821217696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6694",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618266694",
"telephone_number": "217-366-0033",
"fax_number": "217-366-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 BELMONT PT",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61822",
"telephone_number": "217-366-0033",
"fax_number": "217-366-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "LYNN",
"middle_name": "M",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.