Active NPI
Denise Reissig, OT
- Occupational Therapist
- Fairview Heights, IL
National Provider Identifier
1881897536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1701624
- Practice address
- 141 Market PL
Suite 203
Fairview Heights, IL 62208-2034 - Phone
- (618) 398-4118
- Fax
- (847) 881-9640
- NPI assigned
- Jun 8, 2007
- Last updated
- Apr 15, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1701624 | KS | Primary |
Addresses
Primary practice location
141 Market PL
Suite 203
Fairview Heights, IL 62208-2034
Mailing address
530 W. 14TH
Chanute, KS 66720
Phone (618) 398-4118
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1701624 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1881897536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 W. 14TH",
"city": "CHANUTE",
"state": "KS",
"postal_code": "66720",
"telephone_number": "618-398-4118",
"fax_number": "847-881-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MARKET PL",
"address_2": "SUITE 203",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082034",
"telephone_number": "618-398-4118",
"fax_number": "847-881-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISSIG",
"first_name": "DENISE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "1701624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.