MRS. CARYN M. MASTERSON


Address: 5105 Margaret Curtis Ln, Midlothian, IL 60445-1586
Phone: 7083850425

MRS. CARYN M. MASTERSON (NPI# 1336398759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336398759
Entity Type Individual
Full Name MRS. CARYN M. MASTERSON
Credential MS, OTR/L
Practice Address 5105 Margaret Curtis Ln
Midlothian
IL 60445-1586
Practice Telephone 7083850425
Mailing Telephone 7083850425
Enumeration Date 2008-09-10
Last Update Date 2008-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 056002589 IL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL DEPARTMENT OF PROFESSIONAL REGULATION REGISTERED OCCUPATIONAL TH 056002589 01

Office Location

Street Address 5105 MARGARET CURTIS LN
City MIDLOTHIAN
State IL
Zip Code 60445-1586

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NPI Name Taxonomy Address Enumeration
1194024802 Pediatric Achievers, Inc. Occupational Therapist 5105 Margaret Curtis Ln, Midlothian, IL 60445-1586 2011-03-21

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1467576249 Chippenham & Johnston Willis Sports Medicine, LLC Specialist 5309 Commonwealth Centre Parkway, Suite 100, Midlothian, VA 23112 2007-03-19
1366534588 Virginia Family Physicians P C Specialist 2367 Colony Crossing Place., Midlothian, VA 23112 2006-09-28
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1932155504 Parul D. Little Specialist 5955 Harbour Park Dr, Midlothian, VA 23112-2163 2006-05-25
1649238387 Edward M Leaton Specialist 14355 Sommerville Ct, Midlothian, VA 23113-6837 2006-05-03
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Competitor

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City MIDLOTHIAN
Zip Code 60445

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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