Individual provider Active NPI

Tammy A. Price, OTR/L, CLVT

  • Occupational Therapist
  • Tinley Park, IL
National Provider Identifier
1942447131
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.004640 Issued in IL
Practice address
17049 Harlem Ave
Tinley Park, IL 60477-2739
Phone
(708) 945-3165
Fax
(708) 429-3167
NPI assigned
Jan 10, 2009
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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 056.004640 IL Primary

Addresses

Primary practice location

17049 Harlem Ave
Tinley Park, IL 60477-2739

Mailing address

17707 Sayre Ave
Tinley Park, IL 60477-3908
Phone (708) 945-3165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111214000466 IL Practitioner - Occupational Therapist in Private Practice 7113192535 Reassigns benefits to 1 organization
I20170523001400 IN Practitioner - Occupational Therapist in Private Practice 7113192535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone (312) 666-1331

3198 E 83Rd Place
Merrillville, IN 46410-6418
Phone (312) 666-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.004640ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired Occupational Therapist CurrentSince Sep 22, 2014 Accepting new patients

Locations

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

3198 E 83rd Pl
Merrillville, IN 46410
Phone (219) 945-0100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1942447131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17707 SAYRE AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773908",
            "telephone_number": "708-945-3165",
            "fax_number": "708-429-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17049 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772739",
            "telephone_number": "708-945-3165",
            "fax_number": "708-429-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TAMMY",
        "middle_name": "A.",
        "credential": "OTR/L, CLVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-10",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.004640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.