NPIMap

Individual provider Active NPI

Nicole Marie Ortega, MOT, OTR/L

  • Occupational Therapist
  • Skokie, IL
National Provider Identifier
1922656206
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
8707 Skokie Blvd Ste 402
Skokie, IL 60077-2269
Phone
(847) 877-5210
Fax
(847) 510-0430
NPI assigned
Aug 29, 2019
Reactivated
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 Primary

Addresses

Primary practice location

8707 Skokie Blvd Ste 402
Skokie, IL 60077-2269

Mailing address

70 W Burton PL Apt 1108
Chicago, IL 60610-1466
Phone (417) 429-5490

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop Direct Timber Ridge Pediatric Therapy, LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timber Ridge Pediatric Therapy, LLC Occupational Therapist Current Accepting new patients
Timber Ridge Pediatric Therapy, LLC Occupational Therapist Current Accepting new patients
Michael Humphries M.S.CCC-SLP, Bcba & Associates PLLC Past Accepting new patients

Organizations & group practices 3

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922656206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W BURTON PL APT 1108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101466",
            "telephone_number": "417-429-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD STE 402",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772269",
            "telephone_number": "847-877-5210",
            "fax_number": "847-510-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2023-11-27",
        "deactivation_date": "2019-09-04",
        "reactivation_date": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "Y",
            "affiliationName": "Timber Ridge Pediatric Therapy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8707 Skokie Blvd Ste 402",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600772269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.