Individual provider Active NPI

Julie Shannon Lynch, MOT OTRL CHT

  • Occupational Therapist
  • Oak Brook, IL
National Provider Identifier
1952437394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2803 Butterfield Rd
Ste 350
Oak Brook, IL 60523-1177
Phone
(630) 572-6301
Fax
(630) 572-6314
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

2803 Butterfield Rd
Ste 350
Oak Brook, IL 60523-1177

Mailing address

2803 Butterfield Rd
Ste 350
Oak Brook, IL 60523-1177
Phone (630) 572-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528003306 IL Practitioner - Occupational Therapist in Private Practice 2163843137 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
DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

793 E Butterfield Rd
Lombard, IL 60148-5614
Phone (800) 974-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC CurrentSince Mar 18, 2020 Accepting new patients

Locations

793 E Butterfield Rd
Lombard, IL 60148

2547 Plainfield Naperville Rd
Ste 152
Naperville, IL 60564
Phone 6304340271 ext. 352

2803 Butterfield Rd
Ste 350
Oak Brook, IL 60523
Phone (630) 572-6301

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952437394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 BUTTERFIELD RD",
            "address_2": "STE 350",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231177",
            "telephone_number": "630-572-6301",
            "fax_number": "630-572-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 BUTTERFIELD RD",
            "address_2": "STE 350",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231177",
            "telephone_number": "630-572-6301",
            "fax_number": "630-572-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JULIE",
        "middle_name": "SHANNON",
        "credential": "MOT OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.