Individual provider Active NPI

Lauren Pazda, OTR/L

  • Occupational Therapist
  • Countryside, IL
National Provider Identifier
1891252151
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056012914 Issued in IL
Practice address
100 W Plainfield Rd Ste 100
Countryside, IL 60525-2654
Phone
(708) 588-0833
Fax
(708) 588-0406
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056012914 IL Primary

Addresses

Primary practice location

100 W Plainfield Rd Ste 100
Countryside, IL 60525-2654

Mailing address

100 W Plainfield Rd Ste 100
Countryside, IL 60525-2654
Phone (708) 588-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112001899 IL Practitioner - Occupational Therapist in Private Practice 4981180775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Center for Independence Through Conductive Education Inc 4 clinicians

Practice addresses (Care Compare)

100 W Plainfield Rd
Suite 100
Countryside, IL 60525-2654
Phone (708) 588-0833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056012914ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Independence Through Conductive Education Inc Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients

Locations

100 W Plainfield Rd
Ste 100
Countryside, IL 60525
Phone (708) 588-0833

Organizations & group practices 1

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1891252151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PLAINFIELD RD STE 100",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252654",
            "telephone_number": "708-588-0833",
            "fax_number": "708-588-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W PLAINFIELD RD STE 100",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252654",
            "telephone_number": "708-588-0833",
            "fax_number": "708-588-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZDA",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.