Individual provider Active NPI

Kaylen Marjorie Bye Truax, MOT, OTR/L

  • Occupational Therapist
  • Carpentersville, IL
National Provider Identifier
1861036303
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.013322 Issued in IL
Practice address
619 Silverstone Dr
Carpentersville, IL 60110-1181
Phone
(847) 977-7371
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.013322 IL Primary

Addresses

Primary practice location

619 Silverstone Dr
Carpentersville, IL 60110-1181

Mailing address

619 Silverstone Dr
Carpentersville, IL 60110-1181
Phone (847) 977-7371

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

LicenseStateTypeSpecialty
056.013322ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1861036303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SILVERSTONE DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601101181",
            "telephone_number": "847-977-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SILVERSTONE DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601101181",
            "telephone_number": "847-977-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYE TRUAX",
        "first_name": "KAYLEN",
        "middle_name": "MARJORIE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpentersville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.