Occupational Therapy Providers Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OCCUPATIONAL THERAPY PROVIDERS INC.

Practice address

3849 W 95TH Street
Evergreen Park, IL 60805

Phone

(708) 229-9030

Fax

(708) 229-9032

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mubashir Ali Khan

Title

Ceo

Phone

(708) 229-9828

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 146688

Legal name

OCCUPATIONAL THERAPY PROVIDERS

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Feb 25, 2004

Last certification

Mar 10, 2022

Ownership / control type

Proprietary

Facility address

3849 West 95TH Street
Evergreen Park, IL 60805

Practitioners 2

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

• Muhammad Arif Ali, P.T

  • Physical Therapist
  • Oak Lawn, IL
  • NPI 1033429857
  NPD (past)
• Karen Leanne Nicol, P.T.

  • Physical Therapist
  • Evergreen Park, IL
  • NPI 1225432479
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1891836664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 W 95TH STREET",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-229-9828",
            "fax_number": "708-422-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 W 95TH STREET",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-229-9030",
            "fax_number": "708-229-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY PROVIDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUBASHIR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-229-9828"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP DEPT OF LABOR",
            "identifier": "611354400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1634341",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lou O'Keefe, PA-C
• Michael O'Mara, D.O.
• Oak Street Pharmacy
• Ejikeme O Obasi, MD
• Irwin Douglas Obispo
• Richard E Odonnell, DO
• Odonoghue & Rosenow, MDSC
• Kathleen Ann Odwyer, MA, MED.,LCPC, NCC
• Adedotun A. Ogunsua, M.D.
• Oliver Drabkin M.D. S.C.

• Physical Therapist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.