Individual provider Active NPI

Dawn Laduke, OTR

  • Skilled Nursing Facility
  • Elgin, IL
National Provider Identifier
1649483025
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0119004769 Issued in VA
Practice address
19 Creekside Cir Apt B
Elgin, IL 60123-1110
Phone
(207) 491-2219
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31004437A IN
Skilled Nursing Facility 314000000X 0119004769 VA Primary
Occupational Therapist 225X00000X 5201004890 MI
Occupational Therapist 225X00000X 05793 MD

Addresses

Primary practice location

19 Creekside Cir Apt B
Elgin, IL 60123-1110

Mailing address

2721 Fox Hollow CT
Lake Orion, MI 48360-1717

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
05793MDMDClinical Psychologist
31004437AINMDOccupational Therapist
5201004890MIMDOccupational Therapist
0119004769VAMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Given Sports & Physical Therapy, P.C. PastSince Mar 23, 2015 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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1649483025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 FOX HOLLOW CT",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CREEKSIDE CIR APT B",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231110",
            "telephone_number": "207-491-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADUKE",
        "first_name": "DAWN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004437A",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "0119004769",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004890",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.