Individual provider Active NPI

Stephanie Biziarek, OTR/L

  • Gerontology Occupational Therapist
  • Aurora, IL
National Provider Identifier
1467793109
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
056.010051 Issued in IL
Practice address
1288 Stonehaven Cir
Aurora, IL 60504-8409
Phone
(708) 715-2555
Fax
(630) 429-9411
NPI assigned
Mar 5, 2013
Last updated
May 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.010051 IL
Gerontology Occupational Therapist 225XG0600X 056.010051 IL Primary

Addresses

Primary practice location

1288 Stonehaven Cir
Aurora, IL 60504-8409

Mailing address

133 Patrick Ave
Willow Springs, IL 60480-1638
Phone (630) 310-2566

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

LicenseStateTypeSpecialty
056.010051ILMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1467793109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PATRICK AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801638",
            "telephone_number": "630-310-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 STONEHAVEN CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048409",
            "telephone_number": "708-715-2555",
            "fax_number": "630-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZIAREK",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.010051",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IL",
            "license": "056.010051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.