Individual provider Active NPI

Alison Margaret Hasselbring, C.O.T.A.

  • Occupational Therapy Assistant
  • Bourbonnais, IL
National Provider Identifier
1912356304
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
057.004068 Issued in IL
Practice address
133 Mohawk Dr
Bourbonnais, IL 60914-1349
Phone
(815) 937-0432
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.004068 IL Primary

Addresses

Primary practice location

133 Mohawk Dr
Bourbonnais, IL 60914-1349

Mailing address

225 E Ottawa Rd
Paxton, IL 60957-1643
Phone (217) 766-1455

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
057.004068ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1912356304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E OTTAWA RD",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609571643",
            "telephone_number": "217-766-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MOHAWK DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141349",
            "telephone_number": "815-937-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELBRING",
        "first_name": "ALISON",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.