Active NPI
Marcin Olkowicz, MOTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1982953543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.009062
- Practice address
- 5645 W. Addison Street
Chicago, IL 60634-4403 - Phone
- (773) 794-7960
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.009062 | IL | Primary |
Addresses
Primary practice location
5645 W. Addison Street
Chicago, IL 60634-4403
Mailing address
5645 W. Addison Street
Chicago, IL 60634-4403
Phone (773) 794-7960
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.009062 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1982953543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 W. ADDISON STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344403",
"telephone_number": "773-794-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 W. ADDISON STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344403",
"telephone_number": "773-794-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLKOWICZ",
"first_name": "MARCIN",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.009062",
"primary": true
}
],
"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 Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.