Vivian V Deloso, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

208 Zachery Dr
Mount Vernon, IL 62864-6712

Phone

(618) 204-5497

NPI assigned

Jun 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Merit-based Incentive Payment System (MIPS)

Final score

79.43 of 100Reported as group

Quality

59.68

Promoting interoperability

92

Improvement activities

40

Cost

72.02

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopaedic Center of Southern Illinois, LTD.

  • Orthopaedic Surgery Physician
  • Mount Vernon, IL
  • NPI 1134171226
  NPD
• Orthopaedic Center of Southern Illinois, LTD.

  • Orthopaedic Surgery Physician
  • Centralia, IL
  • NPI 1932432143
  NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841495793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17375 N CASEY PIKE LN",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647504",
            "telephone_number": "618-242-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ZACHERY DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646712",
            "telephone_number": "618-204-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSO",
        "first_name": "VIVIAN",
        "middle_name": "V",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "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": []
}

• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Express Broadway St)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Doctors Park)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess Illinois Specialty Clinic Occupational Health Broadway)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Good Samaritan)
• David L Deloso, MD
• Joseph Demattei, PHARM.D.
• Dennis P Mlot MD LLC
• Meenakshi M Desai, MD FACS
• Developmental Planning & Services Inc (Oak Terrace)
• Docrx Inc

• Occupational Therapist in Mount Vernon, IL
• Providers in Mount Vernon, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.