Individual provider Active NPI

Jacilyn Doncoes, MOT

  • Occupational Therapist
  • Naperville, IL
National Provider Identifier
1639986151
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056016364 Issued in IL
Practice address
2156 Deep Water LN Ste 110
Naperville, IL 60564-8507
Phone
(630) 904-0700
NPI assigned
Dec 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 056016364 IL Primary

Addresses

Primary practice location

2156 Deep Water LN Ste 110
Naperville, IL 60564-8507

Mailing address

2156 Deep Water LN Ste 110
Naperville, IL 60564-8507
Phone (630) 857-8663

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
056016364ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katiebug Therapy, LTD. PastSince Dec 22, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1639986151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 DEEP WATER LN STE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648507",
            "telephone_number": "630-857-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 DEEP WATER LN STE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648507",
            "telephone_number": "630-904-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONCOES",
        "first_name": "JACILYN",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056016364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.