Active NPI
Shanelle Faye Rodee, MS, OTR/L
- Specialist
- Oak Brook, IL
National Provider Identifier
1851798771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 05010619
- Practice address
- 1420 Kensington Rd
Suite 201
Oak Brook, IL 60523-2143 - Phone
- (630) 338-7770
- NPI assigned
- Nov 20, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 05010619 | IL | Primary |
Addresses
Primary practice location
1420 Kensington Rd
Suite 201
Oak Brook, IL 60523-2143
Mailing address
1420 Kensignton Road
Suite 201
Oakbrook, IL 60523
Phone (630) 338-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05010619 | Other | IL | OCCUPATIONAL THERAPIST |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05010619 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1851798771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 KENSIGNTON ROAD",
"address_2": "SUITE 201",
"city": "OAKBROOK",
"state": "IL",
"postal_code": "60523",
"telephone_number": "630-338-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 KENSINGTON RD",
"address_2": "SUITE 201",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232143",
"telephone_number": "630-338-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEE",
"first_name": "SHANELLE",
"middle_name": "FAYE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "05010619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "05010619",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.