Melissa Vaughan Podrazik, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.012653 Issued in IL

Practice address

1371 Abbott CT Ste a
Buffalo Grove, IL 60089-2367

Phone

(847) 777-8995

NPI assigned

Sep 26, 2018

Last updated

Jan 31, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1265917181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N WINSTON DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600744134",
            "telephone_number": "847-281-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 ABBOTT CT STE A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892367",
            "telephone_number": "847-777-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRAZIK",
        "first_name": "MELISSA",
        "middle_name": "VAUGHAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.012653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Phillips, PA-C
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• Madhavi Pola, MD
• Megan Polivka
• Megan Pondel, M.S.
• Bruce M. Portnoy, O.D.
• Alexander V. Potermin, M.D.

• Occupational Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 31, 2025; 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.