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

Madison Shay Lazenby

Individual provider Occupational Therapy Assistant · NPI 1699560557

Madison Shay Lazenby is an Occupational Therapy Assistant in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

820 E Terra Cotta Ave Ste 244
Crystal Lake, IL 60014-3655
Phone: (815) 354-8200
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.006216 (IL)

Record details

NPI number1699560557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Other providers in Crystal Lake