Aymen Fatima Shakeel, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.009916 Issued in IL

Practice address

161 Rosedale CT
Bloomingdale, IL 60108-1477

Phone

(630) 407-7749

NPI assigned

Jan 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lead the Way Therapy

  • Pediatric Occupational Therapist
  • Bloomingdale, IL
  • NPI 1184130726

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1962740282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 ROSEDALE CT",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081477",
            "telephone_number": "630-407-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 ROSEDALE CT",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081477",
            "telephone_number": "630-407-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKEEL",
        "first_name": "AYMEN",
        "middle_name": "FATIMA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.009916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehul P Sekhadia, D.O.
• Lisa Seleski
• Natalie Marie Semaan, DMD
• Senior Care Home Health Inc.
• Donald Sevedge
• Noori Shariff
• Emma Sharko, OTR/L
• Pruthvi Sharlin, MD
• Priyanka Sharma, DMD
• Greg Edward Sharon, M.D.,

• Pediatric Occupational Therapist in Bloomingdale, IL
• Providers in Bloomingdale, 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 Jun 11, 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.