Individual provider Active NPI

Deena A Maborang, MOT

  • Pediatric Occupational Therapist
  • Oakwood Hills, IL
National Provider Identifier
1093106734
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056010092 Issued in IL
Practice address
14 Fawn Ridge Dr
Oakwood Hills, IL 60013-1069
Phone
(847) 312-6421
Fax
(224) 397-6248
NPI assigned
Feb 17, 2015
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056010092 IL Primary

Addresses

Primary practice location

14 Fawn Ridge Dr
Oakwood Hills, IL 60013-1069

Mailing address

764 June Ter
Lake Zurich, IL 60047-6252
Phone (847) 219-9673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607001255 IL Practitioner - Occupational Therapist in Private Practice 4688074099 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Il LLC Occupational Therapist CurrentSince May 1, 2021 Accepting new patients
Oasis Therapy Services LLC Occupational Therapist CurrentSince Mar 4, 2024 Accepting new patients
Pediatric Therapy Specialists PLLC Pediatrics CurrentSince Nov 10, 2024 Accepting new patients
Barrington Internal Medicine P.C. Past Accepting new patients
Adaptive Rehabilitation Clinics, LLC Occupational Therapist Past Accepting new patients
Illinois Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442

7 Carnegie Plz
Cherry Hill, NJ 08003

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16551/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1093106734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 JUNE TER",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476252",
            "telephone_number": "847-219-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FAWN RIDGE DR",
            "city": "OAKWOOD HILLS",
            "state": "IL",
            "postal_code": "600131069",
            "telephone_number": "847-312-6421",
            "fax_number": "224-397-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABORANG",
        "first_name": "DEENA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056010092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakwood Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.