Avery Mark, OTR/L
Occupational Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1124907282
StatusActive
Last updated in NPPESSep 23, 2025
Details
- NPI
- 1124907282
- Entity type
- Individual (NPI-1)
- Name
- Avery Mark
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2025
- Certification date
- Sep 23, 2025
- Last updated
- Sep 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225XP0200X | Occupational Therapist, Pediatrics | 056.016671 | IL |
Practice location
939 W Wilson AveChicago, IL 60640-5706
Phone 773-244-0700
Mailing address
939 W Wilson AveChicago, IL 60640-5706
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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