Provider Demographics
NPI:1265303176
Name:LEVINE, HANNAH (OTD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 STATION BLVD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-2130
Mailing Address - Country:US
Mailing Address - Phone:360-854-8080
Mailing Address - Fax:
Practice Address - Street 1:1060 STATION BLVD UNIT 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-2130
Practice Address - Country:US
Practice Address - Phone:360-854-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.016677225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty