LISA MARIE GANDOR OT
NPI 1609910454
Occupational Therapist in Lake Zurich, IL
About Lisa Marie Gandor Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE GANDOR OT (NPI 1609910454) is an individual occupational therapist in Lake Zurich, Illinois, licensed in Illinois (056007836) and active in the NPI registry since February 2007. She is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Marie Gandor Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Gandor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Zurich, IL 60047
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Gandor's NPI number?
The NPI number for Lisa Gandor is 1609910454. It was assigned to this individual provider in the NPPES registry on February 16, 2007.
Where is Lisa Gandor located?
Lisa Gandor practices at 237 Mark Ln, Lake Zurich, IL 60047. The listed phone number is (847) 231-2477.
What is Lisa Gandor's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Lisa Gandor enrolled in Medicare?
Yes. Lisa Gandor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lisa Gandor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gandor reassigns Medicare benefits to Prestige Wellbeing LLC (Lake Zurich, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Gandor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Gandor was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.