Individual provider Active NPI

Erika Charlotte Mattiuz, MS,OTR/L

  • Occupational Therapist
  • Oak Brook, IL
National Provider Identifier
1356995955
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.004930 Issued in IL
Practice address
8 Kimberley Cir
Oak Brook, IL 60523-1719
Phone
(708) 259-4800
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.004930 IL Primary

Addresses

Primary practice location

8 Kimberley Cir
Oak Brook, IL 60523-1719

Mailing address

8 Kimberley Cir
Oak Brook, IL 60523-1719
Phone (708) 259-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823001227 IL Practitioner - Occupational Therapist in Private Practice 9830427178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorycare CorporationGroup PAC ID 3870785132, 11 clinicians

Practice addresses (Care Compare)

1057 Chadwick CT
Aurora, IL 60502-9323
Phone (630) 800-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056.004930ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare Corporation Single Specialty CurrentSince Jul 31, 2019 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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1356995955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KIMBERLEY CIR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231719",
            "telephone_number": "708-259-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KIMBERLEY CIR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231719",
            "telephone_number": "708-259-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIUZ",
        "first_name": "ERIKA",
        "middle_name": "CHARLOTTE",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.004930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.