Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Beth Wade

Individual provider Gerontology Occupational Therapist · NPI 1003576083

Lisa Beth Wade is a Gerontology Occupational Therapist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

6901 N Galena Rd
Peoria, IL 61614-3193
Phone: (309) 692-4600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 057000996 (IL)

Record details

NPI number1003576083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2021
Last updated in NPPESDecember 18, 2021
Certification dateDecember 18, 2021
Mailing address318 E Craig St, Princeville, IL 61559-9596

Other providers in Peoria