NPIMap

Organization Active NPI

United Occupational Therapy Center

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1891064507
Registry record updated Dec 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056003759 Issued in IL
Legal business name
UNITED OCCUPATIONAL THERAPY CENTER
Practice address
1505 W Devon Ave
Chicago, IL 60660-1313
Phone
(847) 890-1893
NPI assigned
Dec 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2011

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

Authorized official

Name
Jolene GembaraNPI 1073901922
Title
President
Phone
(847) 890-1893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 056003759 IL Primary

Addresses

Primary practice location

1505 W Devon Ave
Chicago, IL 60660-1313

Mailing address

910 Grey Ave
Evanston, IL 60202-1511
Phone (847) 890-1893

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1891064507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GREY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021511",
            "telephone_number": "847-890-1893",
            "fax_number": "773-277-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601313",
            "telephone_number": "847-890-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED OCCUPATIONAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "GEMBARA",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-890-1893"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 26, 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.