Active NPI
Amanda Babicz, OTR/L
- Occupational Therapist
- Naperville, IL
National Provider Identifier
1871059410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056013257
- Practice address
- 1804 Centre Point Cir Ste 102
Naperville, IL 60563-4849 - Phone
- (630) 955-1940
- NPI assigned
- Feb 19, 2019
- 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 | 5329 | SC | |
| Occupational Therapist | 225X00000X | 056013257 | IL | Primary |
Addresses
Primary practice location
1804 Centre Point Cir Ste 102
Naperville, IL 60563-4849
Mailing address
1804 Centre Point Cir Ste 102
Naperville, IL 60563-4849
Phone (630) 955-1940
Other practice location 1
710 S George St
Rome, NY 13440-9612
Phone (315) 269-0886
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056013257 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1871059410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 CENTRE POINT CIR STE 102",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634849",
"telephone_number": "630-955-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 CENTRE POINT CIR STE 102",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634849",
"telephone_number": "630-955-1940"
}
],
"practiceLocations": [
{
"address_1": "710 S George St",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "NY",
"postal_code": "134409612",
"country_code": "US",
"telephone_number": "315-269-0886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABICZ",
"first_name": "AMANDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5329",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056013257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.