Individual provider Active NPI

Nicole Therese Hobus, MS,OTR/L

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1881042299
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056010215 Issued in IL
Practice address
6216 S Natchez Ave
Chicago, IL 60638-4216
Phone
(773) 592-8937
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056010215 IL Primary

Addresses

Primary practice location

6216 S Natchez Ave
Chicago, IL 60638-4216

Mailing address

6216 S Natchez Ave
Chicago, IL 60638-4216
Phone (773) 592-8937

Other names 1

  • Ms. Nicole Therese Bielecki Former name

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

LicenseStateTypeSpecialty
056010215ILMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1881042299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S NATCHEZ AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384216",
            "telephone_number": "773-592-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S NATCHEZ AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384216",
            "telephone_number": "773-592-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBUS",
        "first_name": "NICOLE",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056010215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BIELECKI",
            "middle_name": "THERESE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.