Susan L Botica, OTR/L,CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056002054 Issued in IL

Practice address

2534 E Lincoln Hwy
New Lenox, IL 60451-9712

Phone

(630) 296-2223

Fax

(630) 759-3251

NPI assigned

Aug 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Susan L Schrader Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1013900455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 E LINCOLN HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519712",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTICA",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "OTR/L,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056002054",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IL",
            "license": "056002054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER #",
            "identifier": "670002092",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SCHRADER",
            "middle_name": "L",
            "credential": "OTR/L,CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Anne Bodzianowski
• Syed Saqib Abrar Bokhari, M.D.
• Melissa Kay Bollinger, O.D.
• Erik Borncamp, MD
• Kristen Waye Boros
• Aaron Bowlds
• Megan Brace
• Angela Brannigan, MPT
• William Andrew Bremer, MD
• Kelly Brenczewski

• Occupational Therapist in New Lenox, IL
• Providers in New Lenox, 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 30, 2012; 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.