Individual provider Active NPI

Julia Jimenez

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1285161935
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014912 Issued in IL
Practice address
3431 N Oakley Ave Unit Basement
Chicago, IL 60618-4884
Phone
(312) 549-9190
NPI assigned
May 12, 2017
Reactivated
Jan 14, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014912 IL Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

3431 N Oakley Ave Unit Basement
Chicago, IL 60618-4884

Mailing address

3431 N Oakley Ave Unit Basement
Chicago, IL 60618-4884
Phone (312) 549-9190

Other practice location 1

8001 SW 36th St
Suite 9
Davie, FL 33328-1915
Phone (954) 577-7790

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

State licenses

LicenseStateTypeSpecialty
056.014912ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlile Speech Therapy PLLC Occupational Therapist CurrentSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1285161935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 N OAKLEY AVE UNIT BASEMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184884",
            "telephone_number": "312-549-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 N OAKLEY AVE UNIT BASEMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184884",
            "telephone_number": "312-549-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 SW 36th St",
            "address_2": "Suite 9",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333281915",
            "country_code": "US",
            "telephone_number": "954-577-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "deactivation_date": "2024-12-12",
        "reactivation_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014912",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.