Active NPI
Deisy Maldonado
- Pediatric Occupational Therapist
- Oak Park, IL
National Provider Identifier
1154771863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 719 N Marion St
Oak Park, IL 60302-1530 - Phone
- (224) 387-8151
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
719 N Marion St
Oak Park, IL 60302-1530
Mailing address
719 N Marion St
Oak Park, IL 60302-1530
Phone (224) 387-8151
Other practice location 1
550 W Saint Charles Rd
Elmhurst, IL 60126-3038
Phone (815) 469-1500
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 |
|---|---|---|---|
| Westside Childrens Therapy | Past | Accepting new patients | |
| Synaptx, LTD | 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 and National Provider Directory roles.
-
- Point of Service
- Crystal Lake, IL
- NPI 1669637344
-
- Physical Therapist
- Joliet, IL
- NPI 1972783900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1154771863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 N MARION ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021530",
"telephone_number": "224-387-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 N MARION ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021530",
"telephone_number": "224-387-8151"
}
],
"practiceLocations": [
{
"address_1": "550 W Saint Charles Rd",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "601263038",
"country_code": "US",
"telephone_number": "815-469-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO",
"first_name": "DEISY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2025-04-16",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.