AMANDA HADE (OTR/L) – Occupational Therapist, NPI 1083462592

AMANDA HADE (OTR/L) is a healthcare provider. based in Crest hill, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 056006759 (IL). The NPI Number for AMANDA HADE (OTR/L) is 1083462592

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA HADE (OTR/L)
NPI
1083462592
Phone
(414) 477-7612
Address
16231 LAUREL OAK DR
Enumeration Date
9 May 2024
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309472717
Graduation Year
2000 (26 years ago)
PAC ID
1658713995
Group Practice PAC ID
5193036432
Professional Enrollment ID
I20240531001379
Address ID
IL605322179LI1920XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for AMANDA HADE (OTR/L)

  • 16231 LAUREL OAK DR

    CREST HILL, IL 604030747

    Phone: (414) 477-7612

    Type: Mailing

  • 1920 MAPLE AVE

    LISLE, IL 605322179

    Phone: (630) 725-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240531001379IOccupational Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193036432View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeAL
-MO
-AL
-IL
Physical Therapist In Private PracticeTN
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeIL
-MO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What is AMANDA HADE (OTR/L)'s NPI number?
AMANDA HADE (OTR/L)'s NPI is 1083462592 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to AMANDA HADE (OTR/L)?
You should see AMANDA HADE (OTR/L) as active in CMS-hosted NPPES data.
How would a patient describe AMANDA HADE (OTR/L)'s focus?
For AMANDA HADE (OTR/L), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA HADE (OTR/L)?
Travel planning: use Crest Hill, Illinois as the reference point for AMANDA HADE (OTR/L), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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