Beverly A Menninger, MAOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-007187 Issued in IL

Practice address

312 S Hale St
Wheaton, IL 60187-5220

Phone

(630) 708-8405

Fax

(630) 480-6482

NPI assigned

Apr 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Center for Childrens Development NFP

  • Pediatric Occupational Therapist
  • Crystal Lake, IL
  • NPI 1538281340
  NPD (past)
• TLC Centers for Therapy

  • Physical Therapist
  • Crystal Lake, IL
  • NPI 1780336123

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1154741726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 REFLECTIONS DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027315",
            "telephone_number": "630-605-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S HALE ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875220",
            "telephone_number": "630-708-8405",
            "fax_number": "630-480-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNINGER",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MAOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-007187",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "IL",
            "license": "056-007187",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056-007187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Mendez, MA, LCPC
• Francheska Mendez
• Mariaines Mendez
• Teresa Elvira Mendoza, LCSW, MSW
• Brandy Elli Menendez, FNP-C
• Erica L Menocci, PA-C
• Edgar Antonio Mercado Jr., MSOT
• Shannon Merkin, LCSW
• Alexandra Mertz
• John J Messitt, M. D.

• Occupational Therapist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.