Individual provider · Type 1 NPI

Sara Probasco Vivoda, MOT, OTR/L, CLC

Occupational Therapist · Chicago, IL

NPI number 1124377635 Active

Practice location

1757 N Kimball Ave Ste 205A
Chicago, IL 60647-4805

Call (816) 914-0359 Map

Specialties and licenses

TaxonomyCodeLicense
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X056.009836 (IL)
Occupational Therapist Primary 225X00000X056.009836 (IL)
Lactation Consultant (Non-RN) 174N00000XNone listed

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…

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About NPI 1124377635

Sara Probasco Vivoda, MOT, OTR/L, CLC's National Provider Identifier is 1124377635, issued on Aug 30, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 1, 2025.