Individual provider Active NPI

Madison Kristina Lolli, OTR/L

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1619884632
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.027299 Issued in IL
Practice address
4619 N Ravenswood Ave Ste 300
Chicago, IL 60640-4579
Phone
(773) 697-7333
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.027299 IL Primary

Addresses

Primary practice location

4619 N Ravenswood Ave Ste 300
Chicago, IL 60640-4579

Mailing address

460 Wentworth Cir
Cary, IL 60013-2321
Phone (815) 575-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1619884632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WENTWORTH CIR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132321",
            "telephone_number": "815-575-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 N RAVENSWOOD AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404579",
            "telephone_number": "773-697-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLI",
        "first_name": "MADISON",
        "middle_name": "KRISTINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.027299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.