Individual provider Active NPI

Callyn Leigh Giacomuzzi, OT

  • Occupational Therapist
  • Lombard, IL
National Provider Identifier
1316564313
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.011460 Issued in IL
Practice address
2210 Fountain Square Dr
Lombard, IL 60148-5609
Phone
(630) 953-8990
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.011460 IL Primary

Addresses

Primary practice location

2210 Fountain Square Dr
Lombard, IL 60148-5609

Mailing address

2210 Fountain Square Dr
Lombard, IL 60148-5609

Other practice location 1

200 E Lake St
Elmhurst, IL 60126-2013
Phone (630) 516-5000

Other names 1

  • Callyn Zartman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128001062 IL Practitioner - Occupational Therapist in Private Practice 3870907108 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.011460ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Feb 20, 2021 Accepting new patients
Unlimited Potential 1 Inc. Occupational Therapist CurrentSince Jan 1, 2026 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Feb 20, 2021 Accepting new patients
Fox Rehabilitation Services Il LLC Occupational Therapist CurrentSince Dec 1, 2020 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

2210 Fountain Square Dr
Lombard, IL 60148
Phone (630) 599-7742

6300 Clarendon Hills Rd
Willowbrook, IL 60527
Phone (618) 534-7890

Organizations & group practices 4

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1316564313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 FOUNTAIN SQUARE DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 FOUNTAIN SQUARE DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485609",
            "telephone_number": "630-953-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Lake St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262013",
            "country_code": "US",
            "telephone_number": "630-516-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIACOMUZZI",
        "first_name": "CALLYN",
        "middle_name": "LEIGH",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLYN",
            "last_name": "ZARTMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.