NPIMap

Individual provider Active NPI

Ramakanth Reddy Iluri, O.T.

  • Occupational Therapist
  • Joliet, IL
National Provider Identifier
1902050206
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.008358 Issued in IL
Practice address
3401 Hennepin Dr
Joliet, IL 60431-1080
Phone
(815) 436-5900
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.008358 IL Primary

Addresses

Primary practice location

3401 Hennepin Dr
Joliet, IL 60431-1080

Mailing address

1920 Old Springville Rd
Birmingham, AL 35215-5858
Phone (205) 520-9600

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

LicenseStateTypeSpecialty
056.008358ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Home Health Care - Lancaster, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1902050206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OLD SPRINGVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155858",
            "telephone_number": "205-520-9600",
            "fax_number": "205-520-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HENNEPIN DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604311080",
            "telephone_number": "815-436-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILURI",
        "first_name": "RAMAKANTH",
        "middle_name": "REDDY",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.008358",
            "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 Nov 13, 2008; 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.