Individual provider Active NPI

Catherine Marie Lazzaro, COTA

  • Occupational Therapy Assistant
  • Elgin, IL
National Provider Identifier
1043039274
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
057.006143 Issued in IL
Practice address
790 Fletcher Dr Ste 101
Elgin, IL 60123-4757
Phone
(847) 697-7800
Fax
(847) 697-7807
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.006143 IL Primary

Addresses

Primary practice location

790 Fletcher Dr Ste 101
Elgin, IL 60123-4757

Mailing address

790 Fletcher Dr Ste 101
Elgin, IL 60123-4757
Phone (847) 697-7800

Other practice location 1

424 N Rand Rd
North Barrington, IL 60010-1496
Phone (847) 756-2680

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

LicenseStateTypeSpecialty
057.006143ILMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Child Therapy and Rehabilitation LLC PastSince Oct 6, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: childtherapyandrehab.catherinelazzaro@158752.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1043039274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 FLETCHER DR STE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234757",
            "telephone_number": "847-697-7800",
            "fax_number": "847-697-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 FLETCHER DR STE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234757",
            "telephone_number": "847-697-7800",
            "fax_number": "847-697-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 N Rand Rd",
            "address_purpose": "LOCATION",
            "city": "North Barrington",
            "state": "IL",
            "postal_code": "600101496",
            "country_code": "US",
            "telephone_number": "847-756-2680",
            "fax_number": "847-756-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZZARO",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.006143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.