Lisa Marie Gandor, OT
NPI 1609910454ActiveIndividual· Occupational Therapist· Lake Zurich, IL
Occupational Therapist (OT) in Lake Zurich, Illinois, licensed in IL, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1609910454 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | Yes |
| NPI issued | Feb 16, 2007 |
| Last updated in NPPES | Apr 7, 2023 |
| Certified by provider | Apr 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 056007836 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (IL) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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