Joyce Ellen Berger

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-000744 Issued in IL

Practice address

600 N Bradley Rd
Lake Forest, IL 60045-1020

Phone

(847) 615-8696

Fax

(847) 615-8656

NPI assigned

Apr 30, 2011

Last updated

Apr 30, 2011By 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 3

Addresses

Other names 1

• Mr. Joyce Ellen Downie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304121600000",
    "number": "1861783482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 HACKBERRY LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453515",
            "telephone_number": "847-615-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BRADLEY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451020",
            "telephone_number": "847-615-8696",
            "fax_number": "847-615-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JOYCE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2011-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-000744",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "IL",
            "license": "056-000744",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056-000744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "DOWNIE",
            "middle_name": "ELLEN",
            "prefix": "MR.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Belmont
• John William Benge, MD
• Adam W. Bennett, MD
• Ann Benny Stephen, AUD
• Deborah L Berg, CCC-SLP
• Mimi Claire Bergman, DPT
• Mark Allan Berk, M.D.
• Samantha Berkson
• Harold G. Berner, MD
• Superman David Berrow, MS, ATC, CES

• Occupational Therapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2011; 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.