Edward Thelen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056004948 Issued in IL

Practice address

7437 170TH PL
Tinley Park, IL 60477-4744

Phone

(708) 373-2468

Fax

(708) 620-5358

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Quality Therapy & Consultation, Inc.

  • Physical Therapist
  • Orland Park, IL
  • NPI 1982633715

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1841380813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7437 170TH PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774744",
            "telephone_number": "708-373-2468",
            "fax_number": "708-620-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7437 170TH PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774744",
            "telephone_number": "708-373-2468",
            "fax_number": "708-620-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056004948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3640571036046701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Thalji, PHARMD
• The McAllister Nursing Home Inc.
• The Mending Room Counseling Center for Wellness
• The Office of Adele M. Bryant, LLC
• The Senior's Club LTD.
• Theory Physical Therapy, LLC
• Therapy Providers of Tinley Park LTD.
• Robert Michael Thies, D.D.S.
• Thomas J Conti MD Dba Illinois Oculoplastic Associates SC
• Thomas J. Boysen, D.P.M., S.C.

• Occupational Therapist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.