RAILI CHAN (OT) – Occupational Therapist, NPI 1639456890

RAILI CHAN (OT) is a healthcare provider. based in Chicago, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 056.009543 (IL). The NPI Number for RAILI CHAN (OT) is 1639456890

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
RAILI CHAN (OT)
NPI
1639456890
Phone
(773) 557-9670
Address
3053 S THROOP ST
Enumeration Date
15 November 2011
Last Update Date
15 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308002444
Graduation Year
2011 (15 years ago)
PAC ID
7214389980
Group Practice PAC ID
3870785132
Professional Enrollment ID
I20240118000588
Address ID
IL606575083CH2835XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for RAILI CHAN (OT)

  • 3053 S THROOP ST

    CHICAGO, IL 606085812

    Phone: (773) 557-9670

    Type: Mailing

  • 975 E NERGE RD

    SUITE N-140

    ROSELLE, IL 601724804

    Phone: (874) 437-9889

    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: 2024-01-18

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
I20240118000588IOccupational Therapist In Private PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60608)

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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: 3870785132View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Qualified Speech Language PathologistIL
-IL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIL

Reviews

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Frequently asked questions

Can I verify RAILI CHAN (OT) with an NPI only?
You can start verification with NPI 1639456890 for RAILI CHAN (OT), then check state licensing separately.
Is RAILI CHAN (OT) still practicing?
RAILI CHAN (OT) is currently listed as active in the public NPI registry.
What is RAILI CHAN (OT)'s primary classification?
Occupational Therapist is the headline specialty for RAILI CHAN (OT) here. Clinical services aligned with this taxonomy classification.
Where should I expect RAILI CHAN (OT) on a map?
Expect Chicago, Illinois as a primary anchor for RAILI CHAN (OT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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