Holly Michelle Eager, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005183 Issued in IL

Practice address

6320 159TH St Ste F
Oak Forest, IL 60452-2780

Phone

(708) 687-8768

NPI assigned

Oct 21, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1831732932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 WHITE TAILED LN APT 2W",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604775094",
            "telephone_number": "816-260-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 159TH ST STE F",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522780",
            "telephone_number": "708-687-8768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 159th Street",
            "address_2": "suite f",
            "address_purpose": "LOCATION",
            "city": "oak forest",
            "state": "IL",
            "postal_code": "60452",
            "country_code": "US",
            "telephone_number": "708-687-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGER",
        "first_name": "HOLLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Pitud, M.D., Allergy and Asthma, LTD.
• Amy Nichole Druzik, M.A.
• Katherine S Dunneback, SLP/L
• Ellen Irene Dybala
• Gerard L. Dysico, M.D.
• Naomi S Effort, LCPC
• Nahed Elayyan
• Elite Therapy Solutions Inc.
• Dawn Ellis, PT
• Stacey Estes, PT

• Occupational Therapy Assistant in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.