Active NPI
Alana Smith
- Occupational Therapy Assistant
- Park Ridge, IL
National Provider Identifier
1831733997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057.005294
- Practice address
- 1001 N Greenwood Ave
Park Ridge, IL 60068-2054 - Phone
- (847) 692-5600
- NPI assigned
- Nov 1, 2019
- 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 Therapy Assistant | 224Z00000X | 057.005294 | IL | Primary |
Addresses
Primary practice location
1001 N Greenwood Ave
Park Ridge, IL 60068-2054
Mailing address
558 E Oakwood Blvd Unit 4W
Chicago, IL 60653-2366
Phone (612) 987-0604
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.005294 | IL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1831733997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 E OAKWOOD BLVD UNIT 4W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606532366",
"telephone_number": "612-987-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N GREENWOOD AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682054",
"telephone_number": "847-692-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057.005294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.