Danielle Nicole Phillips, DOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.015632 Issued in IL

Practice address

3545 Lake Ave
Wilmette, IL 60091-1058

Phone

(847) 529-8612

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Nicole Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1962289439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NOYES ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012559",
            "telephone_number": "847-529-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-529-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "DOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "THOMPSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi Petchenik, M.S.W., L.C.S.W.
• Peter R. Lewy, MD, LTD
• Nancy E Peter, MSW, LCSW
• Kathleen Philben, PH.D.
• Philip Cook DDS LLC
• Physical Therapy at Home LLC
• PKT Inc
• Noelle Kathleen Pontarelli, PHD
• Dayna Nicole Portnoy, NP
• Harry Paul Poulos, M.D.

• Occupational Therapist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.