Active NPI
Mary Suzanne Meadows, OTRL
- Occupational Therapist
- Joliet, IL
National Provider Identifier
1902007404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 56001125
- Practice address
- 212 Barney Dr
Joliet, IL 60435-5271 - Phone
- (815) 725-2194
- NPI assigned
- May 30, 2007
- 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 | 56001125 | IL | Primary |
Addresses
Primary practice location
212 Barney Dr
Joliet, IL 60435-5271
Mailing address
3630 Beth Dr
Morris, IL 60450-8627
Phone (815) 942-4275
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 |
|---|---|---|---|
| 56001125 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902007404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 BETH DR",
"city": "MORRIS",
"state": "IL",
"postal_code": "604508627",
"telephone_number": "815-942-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BARNEY DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355271",
"telephone_number": "815-725-2194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "MARY",
"middle_name": "SUZANNE",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "56001125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
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.