Amanda Hade, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056006759 Issued in IL

Practice address

1920 Maple Ave
Lisle, IL 60532-2179

Phone

(630) 725-7000

NPI assigned

May 9, 2024

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Lisle, IL
  • NPI 1275259798

  Occupational Therapist

  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1083462592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16231 LAUREL OAK DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030747",
            "telephone_number": "414-477-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MAPLE AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322179",
            "telephone_number": "630-725-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADE",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill J Groezinger, LCPC
• Magdalena Marianna Gryglak, D.M.D
• Thomas Guerin, DC
• Courtney Elizabeth Gura, OTD, OTR/L
• H & Y Healthcare, PLLC
• Marina Kassandra Hale, RD, LD
• Colleen M. Hanson, LCSW
• Ashley Haraf, LCSW
• Hare Krishna Dental PLLC
• Linda Michelle Hausler, M.S. CCC-SLP/L

• 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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.