Active NPI
Amber Michelle Zigadlo
- Driving and Community Mobility Occupational Therapy Assistant
- Glenview, IL
National Provider Identifier
1033745658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapy Assistant
- License
- 16632
- Practice address
- 2600 Compass Rd
Glenview, IL 60026-8001 - Phone
- (860) 712-8746
- NPI assigned
- Mar 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapy Assistant | 224ZR0403X | 16632 | FL | Primary |
Addresses
Primary practice location
2600 Compass Rd
Glenview, IL 60026-8001
Mailing address
14909 Old Dixie Hwy
Hudson, FL 34667-1033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16632 | FL | MD | Driving and Community Mobility Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584230400000",
"number": "1033745658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14909 OLD DIXIE HWY",
"city": "HUDSON",
"state": "FL",
"postal_code": "346671033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 COMPASS RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268001",
"telephone_number": "860-712-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIGADLO",
"first_name": "AMBER",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-15",
"last_updated": "2020-03-15",
"certification_date": "2020-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "224ZR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Driving and Community Mobility",
"state": "FL",
"license": "16632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.