Individual provider Active NPI

Stephanie Vogler, MOT, OTR/L

  • Occupational Therapist
  • Lake Zurich, IL
National Provider Identifier
1619345972
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056011155 Issued in IL
Practice address
755 Ela Rd Ste a
Lake Zurich, IL 60047-2412
Phone
(847) 320-0200
Fax
(847) 327-0857
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 056011155 IL Primary

Addresses

Primary practice location

755 Ela Rd Ste a
Lake Zurich, IL 60047-2412

Mailing address

755 Ela Rd Ste a
Lake Zurich, IL 60047-2412
Phone (847) 320-0200

Other names 1

  • Stephanie Eickelberg Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056011155ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Anne Therapy, PLLC Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

755 Ela Rd
Ste A
Lake Zurich, IL 60047
Phone (847) 320-0200

765 Ela Rd
Ste 301
Lake Zurich, IL 60047

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1619345972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 ELA RD STE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472412",
            "telephone_number": "847-320-0200",
            "fax_number": "847-327-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 ELA RD STE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472412",
            "telephone_number": "847-320-0200",
            "fax_number": "847-327-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGLER",
        "first_name": "STEPHANIE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "EICKELBERG",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.