Individual provider Active NPI

Justyna E Labowicz

  • Occupational Therapy Assistant
  • Arlington Heights, IL
National Provider Identifier
1669942512
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
057.005015 Issued in IL
Practice address
2653 N Haddow Ave
Arlington Heights, IL 60004-2535
Phone
(224) 659-4807
NPI assigned
Dec 3, 2018
Reactivated
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.005015 IL Primary
Driver 172A00000X

Addresses

Primary practice location

2653 N Haddow Ave
Arlington Heights, IL 60004-2535

Mailing address

2653 N Haddow Ave
Arlington Heights, IL 60004-2535
Phone (224) 659-4807

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
057.005015ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1669942512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 N HADDOW AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042535",
            "telephone_number": "224-659-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 N HADDOW AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042535",
            "telephone_number": "224-659-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOWICZ",
        "first_name": "JUSTYNA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-08-11",
        "deactivation_date": "2018-12-03",
        "reactivation_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005015",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.