Active NPI
Mike Kelvin Tolentino Esguerra
- Occupational Therapist
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.010659
- Practice address
- 201 N Tyler Rd Apt 233
St Charles, IL 60174-2356 - Phone
- (312) 351-9675
- NPI assigned
- Oct 30, 2018
- Last updated
- Jun 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.010659 | IL | Primary |
Addresses
Primary practice location
201 N Tyler Rd Apt 233
St Charles, IL 60174-2356
Mailing address
201 N Tyler Rd Apt 233
St Charles, IL 60174-2356
Phone (312) 351-9675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1175 Motz St
Elburn, IL 60119-7815
300 Arlington Glen CT
Fenton, MO 63026-3973
3099 Emmons Ave
Suite 1
Brooklyn, NY 11235-1709
7 Clyde Rd
Somerset, NJ 08873-5049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.010659 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Av360 LLC | Current | Accepting new patients | |
| Fox Rehabilitation Services Il LLC | Occupational Therapist | Current | Accepting new patients |
| Cortlyn Therapy, PC | Occupational Therapist | Current | Accepting new patients |
Locations
2140 Lake Cook Rd
Algonquin, IL 60102
Phone (224) 249-1972
28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 413-5817
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
Organizations & group practices 4
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.
-
- Health Educator
- Algonquin, IL
- NPI 1013515501
-
- Physical Therapist
- Westchester, IL
- NPI 1114443462
Occupational Therapist
-
dba Symbria Outpatient Services
- Physical Therapist
- Cincinnati, OH
- NPI 1235725730
IL, Occupational Therapist
-
- Occupational Therapist
- St Charles, IL
- NPI 1154961829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1457828261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N TYLER RD APT 233",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742356",
"telephone_number": "312-351-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N TYLER RD APT 233",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742356",
"telephone_number": "312-351-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESGUERRA",
"first_name": "MIKE KELVIN",
"middle_name": "TOLENTINO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-30",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.010659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.