Amanda Kaiz

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

3019 N Wilshire LN
Arlington Heights, IL 60004-1749

Phone

(847) 322-5247

NPI assigned

Sep 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1992131007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 N WILSHIRE LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041749",
            "telephone_number": "847-322-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 N WILSHIRE LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041749",
            "telephone_number": "847-322-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIZ",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Lynn Kady, RN, IBCLC
• Diane Kaffka
• Randall C. Kahan, M.D.
• Sydney Michelle Kahl, PA-C
• Debora Marie Kahn
• George Kakis, DC
• James S Kakos, DDS FAGD
• Stephan Kakos, DMD, MBS, BS
• Joel Kalavelil, M.D.
• Carl L. Kalbhen, M.D.

• All providers in Arlington Heights, IL
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.