Individual provider · Type 1 NPI

Sara Nicole Green, OTD, OTR/L

Occupational Therapist · Chicago, IL

NPI number 1629642186 Active

Practice location

1801 W Diversey Pkwy Unit 8
Chicago, IL 60614-1049

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.014192 (IL)

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 1629642186

Sara Nicole Green, OTD, OTR/L's National Provider Identifier is 1629642186, issued on May 18, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 17, 2026.