Active NPI
Victoria Medina, OTD
- Occupational Therapist
- Glenview, IL
National Provider Identifier
1013836303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.02786
- Practice address
- 1810 Johns Dr
Glenview, IL 60025-1657 - Phone
- (847) 610-9650
- NPI assigned
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.02786 | IL | Primary |
Addresses
Primary practice location
1810 Johns Dr
Glenview, IL 60025-1657
Mailing address
1810 Johns Dr
Glenview, IL 60025-1657
Phone (847) 610-9650
Other practice location 1
1189 S Milwaukee Ave
Libertyville, IL 60048-3716
Phone (847) 232-4334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Past | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Axes Physical Therapy
- Physical Therapist
- Clinton, IL
- NPI 1376917187
Occupational Therapist
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013836303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 JOHNS DR",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251657",
"telephone_number": "847-610-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 JOHNS DR",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251657",
"telephone_number": "847-610-9650"
}
],
"practiceLocations": [
{
"address_1": "1189 S Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600483716",
"country_code": "US",
"telephone_number": "847-232-4334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "VICTORIA",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.02786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.