HEALTHPRO HERITAGE (NPI# 1093205320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093205320 |
| Entity Type | Organization |
| Organization Name | HEALTHPRO HERITAGE |
| Practice Address |
634 Academy Dr Northbrook IL 60062-2421 |
| Mailing Address |
6618 N Seeley Ave Chicago IL 60645-5104 |
| Practice Telephone | 8476375151 |
| Mailing Telephone | 7733981756 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | MEGHA P SHAH (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 7733981756 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.012503 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | HealthPro Heritage at Home LLC | 307 International Circle Suite 100, Hunt Valley, MD 21030 |
| Iowa Business Entities | HEALTHPRO HERITAGE AT HOME, LLC | 307 International Circle, Suite 100, Hunt Valley, MD 21030 |
| Colorado Business Entities | HEALTHPRO HERITAGE AT HOME, LLC | 307 International Circle, Suite 100, Hunt Valley, MD 21030 |
| Connecticut Business Registrations | HEALTHPRO HERITAGE AT HOME, LLC | 307 International Circle, Suite 100, Hunt Valley, MD 21030 |
| Virginia Business Entities | HealthPRO Heritage LLC | 536 Old Hoowell Road, Greenville, South Carolina 29615 |
| Virginia Business Entities | HealthPRO Heritage Rehab & Fitness LLC | 536 Old Howell Rd, Greenville, South Carolina 29615 |
| Oregon Corporations, Companies and Business Names | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Road, Greenville, SC 29615 |
| Washington State Corporations | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Rd, Greenville, SC 29615-1969 |
| Colorado Business Entities | HealthPRO Heritage Rehab & Fitness, LLC | 307 International Circle, Suite 100, Hunt Valley, MD 21030 |
| Connecticut Business Registrations | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Rd, Greenville, SC 29615 |
| Street Address |
634 ACADEMY DR |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| 1942704598 | Kristin Hagen | Occupational Therapist | 634 Academy Dr, Northbrook, IL 60062-2421 | 2018-03-20 |
| 1306376413 | Olivia Kolomiyets | Occupational Therapist | 634 Academy Dr, Northbrook, IL 60062-2421 | 2017-06-13 |
| 1801346838 | Sameeha Menk | Occupational Therapy Assistant | 634 Academy Dr, Northbrook, IL 60062-2421 | 2016-10-13 |
| 1902353535 | Emily Janikis | Occupational Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1164882650 | Insight:eating Disorders, Weight Management & Psychological Centers | Counselor | 4210 Lake Cook Rd., Floor 2nd and 3rd, Northbrook, IL 60062 | 2016-02-26 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114484938 | Julie Stocking | Occupational Therapist | 1520 Maple Ave, Northbrook, IL 60062-5475 | 2019-02-28 |
| 1982191243 | Andrew Dorgan | Occupational Therapist | 2155 Pfingsten Rd, Northbrook, IL 60062-6427 | 2018-04-21 |
| 1770961948 | Erica Berger | Occupational Therapist | 1925 Birch Rd, Northbrook, IL 60062-5911 | 2015-05-08 |
| 1427474493 | James Roland Klus-salisbury | Occupational Therapist | 1965 Thornwood Ln, Northbrook, IL 60062-3632 | 2014-03-13 |
| 1932453024 | A.d.s. Occupational Therapy, LLC | Occupational Therapist | 2699 Lisa Ct, Northbrook, IL 60062-7625 | 2012-10-29 |
| 1841549722 | Karen A Walsh | Occupational Therapist | 1014 Western Ave, Northbrook, IL 60062-3452 | 2012-09-06 |
| 1902155542 | Diego Casillas | Occupational Therapist | 3000 Dundee Rd Ste 418, Northbrook, IL 60062-2436 | 2012-08-29 |
| 1700109907 | Jennifer Gelb | Occupational Therapist | 3904 Maple Ave, Northbrook, IL 60062-4913 | 2010-03-02 |
| 1407087257 | Rebecca A. Sheade | Occupational Therapist | 425 Huehl Rd Bldg 14a, Northbrook, IL 60062-2301 | 2009-07-28 |
| 1598962334 | Marci R Kreiner | Occupational Therapist | 225 Revere Drive, #200, Northbrook, IL 60062 | 2007-06-27 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.