Individual provider Active NPI

Laura Ann Sisto Thibeau, MOT OTRL

  • Hand Occupational Therapist
  • Schaumburg, IL
National Provider Identifier
1699801035
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
056-006803 Issued in IL
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

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
056006803ILMDOccupational Therapist
056-006803ILMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.