Active NPI
Sandra A Colins, OTR/L
- Occupational Therapist
- Homewood, IL
National Provider Identifier
1891704979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2462 Spruce Rd
Homewood, IL 60430-1052 - Phone
- (708) 752-6272
- Fax
- (708) 799-1264
- NPI assigned
- Aug 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
2462 Spruce Rd
Homewood, IL 60430-1052
Mailing address
2462 Spruce Rd
Homewood, IL 60430-1052
Phone (708) 752-6272
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 |
|---|---|---|---|
| 056003608 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891704979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2462 SPRUCE RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604301052",
"telephone_number": "708-752-6272",
"fax_number": "708-799-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2462 SPRUCE RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604301052",
"telephone_number": "708-752-6272",
"fax_number": "708-799-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLINS",
"first_name": "SANDRA",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
- Melanie Chiu, OD
- Gabriella K Cimino, ATC
- Classic Care Health Services, Inc
- Cynthia Coffey
- Narestus S Coley
- Community Care Systems, Inc.
- Community Health Providers PLLC
- Jasclyn N Coney, M.A., M.DIV
- Connected Living Counseling & Therapeutic Services, LLC
- Connected Living Counseling & Therapeutic Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.