Active NPI
Laura Ann Sisto Thibeau, MOT OTRL
- Hand Occupational Therapist
- Schaumburg, IL
National Provider Identifier
1699801035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 056-006803
- Practice address
- 1990 E Algonquin Rd
Suite 200
Schaumburg, IL 60173-4173 - Phone
- (847) 303-5790
- Fax
- (847) 303-5795
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056006803 | IL | |
| Hand Occupational Therapist | 225XH1200X | 056-006803 | IL | Primary |
Addresses
Primary practice location
1990 E Algonquin Rd
Suite 200
Schaumburg, IL 60173-4173
Mailing address
2000 E Algonquin Rd
Suite 109
Schaumburg, IL 60173-4189
Phone (847) 303-5790
Other names 1
- Laura Ann Sisto
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056006803 | IL | MD | Occupational Therapist |
| 056-006803 | IL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Therapy Specialists, P.C. | Occupational Therapist | Past | Accepting new patients |
| Midamerica Orthopaedics S.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- West Chicago, IL
- NPI 1457398349
-
- Orthopaedic Surgery Physician
- Palos Hills, IL
- NPI 1710114418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1699801035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E ALGONQUIN RD",
"address_2": "SUITE 109",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734189",
"telephone_number": "847-303-5790",
"fax_number": "847-303-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 E ALGONQUIN RD",
"address_2": "SUITE 200",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734173",
"telephone_number": "847-303-5790",
"fax_number": "847-303-5795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTO THIBEAU",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MOT OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056006803",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IL",
"license": "056-006803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "SISTO",
"middle_name": "ANN",
"credential": "MOT OTRL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.