Prestige Wellbeing LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PRESTIGE WELLBEING LLC

Practice address

237 Mark LN
Lake Zurich, IL 60047-8978

Phone

(847) 231-2477

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Marie Gandor, OTR/LNPI 1609910454

Title

Owner

Phone

(847) 231-2477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Marie Gandor, OT

  • Occupational Therapist
  • Lake Zurich, IL
  • NPI 1609910454
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1740178227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MARK LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600478978",
            "telephone_number": "847-231-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 MARK LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600478978",
            "telephone_number": "847-231-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "GANDOR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-231-2477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Pohlman, FDN-P, FMCHC
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• Scott D Pouyat, O.D
• Pauchuru Prasadarao, M.D.
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• Purple Clover Recovery
• Rachel Quick, DPT

• Occupational Therapist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.