Barbara Baldassarre
Individual provider Active NPI Pediatric Occupational Therapist · Lagrange, IL
NPI 1619033610 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1619033610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- Practice address
- 504 S Madison Ave.
Lagrange, IL 60525-2801 - Phone
- (708) 917-9660
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056002081 | IL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BFB Therapeutics, LLC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | ||
| Pediatric Occupational Therapist | 225XP0200X | IL | Yes |
Addresses
Primary practice location
504 S Madison Ave.
Lagrange, IL 60525-2801
Mailing address
504 S. Madison
La Grange, IL 60525
Phone (708) 917-9660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007807677 | Other | CT | AETNA REGISTERED USER |
| 01636273 | Other | IL | BLUE SHIELD PROVIDER |
Other providers in Lagrange, IL
- Adventist Health Partners,Inc
- Kevin E Collins
- Jean L Corte
- Adriana Digianfilippo
- Sadaf M Elahi
- Family Medical Center of Lagrange LTD
All providers in Lagrange, IL · Pediatric Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.