Amanda Louise Rage, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056014298 Issued in IL

Practice address

820 North Blvd
Oak Park, IL 60301-1351

Phone

(708) 524-2445

NPI assigned

Jul 25, 2021

Last updated

Jul 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: amandar@kutsllc.com

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1700559937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 N KOLMAR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411917",
            "telephone_number": "773-793-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NORTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011351",
            "telephone_number": "708-524-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGE",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056014298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AmandaR@kutsllc.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Kids Unlimited Therapy Services, LLC",
            "address_1": "820 North Blvd",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603011351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelica Radek, FNP-C
• Claudia Radek
• Radiant Therapy and Wellness LLC
• Alexandra Radzin
• Lisa A Rae
• Kevin Peter Raihle, D.D.S.
• Mario Vincent Raines, MSW, LSW
• Bavani Wanar Rajah, MD
• Seline Bhanu Rajan
• Lila Rajkoummale

• Pediatric Occupational Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.