Charles Valdez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005734 Issued in IL

Practice address

351 Delnor Dr Ste 410
Geneva, IL 60134-4235

Phone

(630) 933-1500

NPI assigned

Mar 30, 2022

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1104566058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR STE 410",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344235",
            "telephone_number": "630-933-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR STE 410",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344235",
            "telephone_number": "630-933-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Uchida, MSW, QMHP, LCSW
• Shital R Ughreja, M.D.
• Jennifer Lee Unger Kroc, MSW, LCSW
• Ryan Unger, M.D.
• Uropartners, LLC
• Valley Acupuncture Health Solutions LLC
• Valley Emergency Care Management, Inc.
• Valley Imaging VT, LLC
• Valley Vision Center LTD
• Ross Van Dorpe, M.D.

• Occupational Therapy Assistant in Geneva, IL
• Providers in Geneva, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.