Allison Gregg Wickes, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056009561 Issued in IL

Practice address

1815 Norwood CT
Evanston, IL 60201-1841

Phone

(312) 238-1000

NPI assigned

Oct 21, 2011

Last updated

Mar 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Rush Medical College of Rush University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Home Therapy LLCGroup PAC ID 5799178968, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illinois Home Therapy LLC

  dba Legends Home Therapy

  • Physical Therapist
  • Skokie, IL
  • NPI 1114506102
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1881979805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 W WAVELAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413638",
            "telephone_number": "847-736-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 NORWOOD CT",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011841",
            "telephone_number": "312-238-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKES",
        "first_name": "ALLISON",
        "middle_name": "GREGG",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha White
• Sara Michelle White, LCSW
• Kaitlyn Whitebread, LPC
• Miriam Whiteley, M.D.
• Whole Woman Fitness LLC
• Marguerite Wickman, LCSW
• Mary Juliana Widmeyer, MD
• Lauren A. Wiebe, MD
• Caley Wieties
• Emily Wilcox, LPMT, MT-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.