Holly Christine Romaniak, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2500 Cabot Dr
Lisle, IL 60532-3711

Phone

(630) 809-4179

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1013669522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 FARMINGDALE DR APT 410",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614780",
            "telephone_number": "630-809-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CABOT DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323711",
            "telephone_number": "630-809-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANIAK",
        "first_name": "HOLLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hromaniak@mygiantsteps.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Giant Steps Autism Organization",
            "address_1": "2500 Cabot Dr",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605323711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapist in Lisle, IL
• Providers in Lisle, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.