Kimberly Stange, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004698 Issued in IL

Practice address

1150 S Euclid Ave
Elmhurst, IL 60126-5178

Phone

(630) 333-4343

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1013517192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S EUCLID AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S EUCLID AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265178",
            "telephone_number": "630-333-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGE",
        "first_name": "KIMBERLY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stavroula Spyropoulos, D.D.S.
• Shobha Sridhar, MD
• Richard E Sroka, PT
• James George St Clair
• Ludley E St Phard, MD, MPH
• Vanessa Stanley, C.R.N.A.
• Robert V Starvel II, DDS
• Rebecca Stasiek
• Sara Stasior, APRN
• George Stathopoulos, MD

• Occupational Therapy Assistant in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.