Terese Mae McMahon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056013407 Issued in IL

Practice address

311 W Depot St Ste N
Antioch, IL 60002-1500

Phone

(847) 838-8085

NPI assigned

Jan 7, 2020

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

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.

• Hope'S Playground Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Antioch, IL
  • NPI 1215308457
  NPD (past)
• Hope'S Playground Pediatric Therapy, Inc.

  • Pediatric Occupational Therapist
  • Antioch, IL
  • NPI 1639394893
  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1861032971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SURREY LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600468546",
            "telephone_number": "847-505-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W DEPOT ST STE N",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021500",
            "telephone_number": "847-838-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "TERESE",
        "middle_name": "MAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinel Maravilla, PT
• Cynthia Maria Marzette, LCSW
• Jeannine M Mattson, PT
• Rise Michele McElhenney, MA CCCSLP
• Jennifer McKinney
• Abbigail Mehnert, MS, CCC-SLP/L
• Raquel G Mejos, FNP-C
• James Gerald Michehl, M.ED.
• Keith Mierzwa
• Miles Family Dental

• Occupational Therapist in Antioch, IL
• Providers in Antioch, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.