Stacey Elizabeth Hanson, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1657 W Cortland St
Chicago, IL 60622-1119

Phone

(847) 486-4140

NPI assigned

Aug 29, 2017

Last updated

Aug 29, 2017By 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

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Theraplay4Kidz, LLC

  dba Arizona Autism

  • Occupational Therapist
  • Scottsdale, AZ
  • NPI 1750727798
  Medicare reassignment
• North Shore Pediatric Therapy

  • Pediatric Occupational Therapist
  • Glenview, IL
  • NPI 1811909492
  NPD (past)
• Achievement Therapy Services

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1265499701
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1295252294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LEE ST STE 210",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 W CORTLAND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221119",
            "telephone_number": "847-486-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "STACEY",
        "middle_name": "ELIZABETH",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Joan Hanson, LCSW
• Justine Amanda Hanson
• Katherine M. Hanson, PH.D.
• Kathryn Rose Hanson
• Ryan Hanson
• Summer Hanson
• Tara Hanson, L.C.S.W.
• Travis Hanson, PHARMD
• Navjeet Hansra, M.D.
• Ruchira Gulati Hantman, MA.,M.S., LCSW

• Pediatric Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.