Active NPI
Greg D Sauder
- Occupational Therapist
- Naperville, IL
National Provider Identifier
1437420494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.009619
- Practice address
- 1315 Macom Dr
Suite 103
Naperville, IL 60564-9358 - Phone
- (630) 585-7337
- NPI assigned
- Jan 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.009619 | IL | Primary |
Addresses
Primary practice location
1315 Macom Dr
Suite 103
Naperville, IL 60564-9358
Mailing address
2674 Meadowdale LN
#210
Woodridge, IL 60517-4049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.009619 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Behavior Solutions, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Lemont, IL
- NPI 1154965937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1437420494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2674 MEADOWDALE LN",
"address_2": "#210",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605174049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 MACOM DR",
"address_2": "SUITE 103",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649358",
"telephone_number": "630-585-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUDER",
"first_name": "GREG",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.009619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.