Individual provider Active NPI

Maria Espejo, OT, CCCPA

  • Cardiology Technician
  • Darien, IL
National Provider Identifier
1821525403
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
Practice address
7310 Sunrise Ave
Darien, IL 60561-4220
Phone
(773) 947-4607
Fax
(630) 708-7639
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X
Rehabilitation Practitioner 225400000X
Other Technician 247200000X
Cardiology Technician 246W00000X Primary
Orthotist 222Z00000X

Addresses

Primary practice location

7310 Sunrise Ave
Darien, IL 60561-4220

Mailing address

7310 Sunrise Ave
Darien, IL 60561-4220
Phone (773) 947-4607

Other names 1

  • Maria D Espejo Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Broadleaf Health and Wellness Current Accepting new patients
Dna Diagnostics CurrentSince Nov 10, 2024 Accepting new patients
Broadleaf Health and Wellness Specialist Past Accepting new patients

Locations

3245 Grove Ave
Ste 205
Berwyn, IL 60402
Phone (773) 947-4607

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1821525403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 SUNRISE AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614220",
            "telephone_number": "773-947-4607",
            "fax_number": "630-708-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 SUNRISE AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614220",
            "telephone_number": "773-947-4607",
            "fax_number": "630-708-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPEJO",
        "first_name": "MARIA",
        "credential": "OT, CCCPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ESPEJO",
            "middle_name": "D",
            "credential": "OT, CARDIO TECH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.