Individual provider Active NPI

Rebecca E Nixon, MS, OTR/L

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1922435486
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.010313 Issued in IL
Practice address
4451 W Ainslie St Apt 2
Chicago, IL 60630-4803
Phone
(260) 349-5714
Fax
(773) 943-6346
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.010313 IL Primary
Occupational Therapist 225X00000X 056010313 IL

Addresses

Primary practice location

4451 W Ainslie St Apt 2
Chicago, IL 60630-4803

Mailing address

4451 W Ainslie St # 2
Chicago, IL 60630-2642
Phone (260) 349-5714

Other practice location 1

1815 S Wolf Rd
Hillside, IL 60162-2110
Phone (708) 236-0976

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056010313ILMDOccupational Therapist
056.010313ILMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1922435486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 W AINSLIE ST # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302642",
            "telephone_number": "260-349-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 W AINSLIE ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304803",
            "telephone_number": "260-349-5714",
            "fax_number": "773-943-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 S Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Hillside",
            "state": "IL",
            "postal_code": "601622110",
            "country_code": "US",
            "telephone_number": "708-236-0976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIXON",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.010313",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.