Individual provider Active NPI

Taryna Hiquiana, OTR/L

  • Occupational Therapist
  • Woodstock, IL
National Provider Identifier
1326401720
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0.56010773 Issued in IL
Practice address
920 N Seminary Ave
Woodstock, IL 60098-2996
Phone
(815) 338-1749
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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 0.56010773 IL Primary

Addresses

Primary practice location

920 N Seminary Ave
Woodstock, IL 60098-2996

Mailing address

2918 17TH St
Rockford, IL 61109-1300
Phone (815) 516-9170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171024000118 IL Practitioner - Occupational Therapist in Private Practice 2163798976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Therapy and Wellness LLCGroup PAC ID 6002351202, 4 clinicians

Practice addresses (Care Compare)

3907 Wood Creek Dr
Island Lake, IL 60042-9656
Phone (630) 550-0898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0.56010773ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Therapy and Wellness LLC Occupational Therapist CurrentSince Jan 21, 2025 Accepting new patients

Locations

920 N Seminary Ave
Woodstock, IL 60098
Phone (815) 334-6200

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1326401720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 17TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611091300",
            "telephone_number": "815-516-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N SEMINARY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982996",
            "telephone_number": "815-338-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIQUIANA",
        "first_name": "TARYNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "0.56010773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.