TAYLOR A PETITT (OT) – Occupational Therapist, NPI 1184291676

TAYLOR A PETITT (OT) is a healthcare provider. based in Oak brook, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. The NPI Number for TAYLOR A PETITT (OT) is 1184291676

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR A PETITT (OT)
NPI
1184291676
Phone
(630) 575-1980
Address
2122 YORK RD STE 300
Enumeration Date
4 June 2021
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4023256341
Graduation Year
2021 (5 years ago)
PAC ID
5597160523
Group Practice PAC ID
0143374124
Professional Enrollment ID
I20221130002118
Address ID
NE685043627LI2436XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for TAYLOR A PETITT (OT)

  • 2122 YORK RD STE 300

    OAK BROOK, IL 605231925

    Phone: (630) 575-1980

    Fax: (630) 928-5080

    Type: Mailing

  • 1352 S MILWAUKEE AVE

    LIBERTYVILLE, IL 600483795

    Phone: (847) 549-1460

    Fax: (847) 549-1490

    Type: Location

  • PO BOX 34669

    OMAHA, NE 681340669

    Phone: (402) 932-6791

    Fax: (026) 147-8354

    Type: Mailing

  • 2436 N 48TH ST STE 101

    LINCOLN, NE 685043627

    Phone: (023) 256-3414

    Fax: (402) 488-0056

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221130002118IOccupational Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities38215$0
97140Therapy procedure using manual technique, each 15 minutes18514$0
97165Evaluation for occupational therapy, typically 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143374124View full group profile
NameSpecialtyState
-NE
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-NE
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How is TAYLOR A PETITT (OT) identified in CMS data?
CMS-hosted NPPES data lists TAYLOR A PETITT (OT) with NPI 1184291676.
Does the file indicate TAYLOR A PETITT (OT) is practicing under active NPI?
Directory data currently reports TAYLOR A PETITT (OT) as active.
What healthcare role does TAYLOR A PETITT (OT) hold?
Scheduling teams often label TAYLOR A PETITT (OT) under Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does TAYLOR A PETITT (OT) list a practice location?
Patients near Oak Brook, Illinois may find TAYLOR A PETITT (OT) in results; validate coverage separately.
Why does TAYLOR A PETITT (OT) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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