Active NPI
Monica Joanna Walen, MOT, OTR/L
- Occupational Therapist
- St Charles, IL
National Provider Identifier
1679010409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.011643
- Practice address
- 525 Tyler Rd Ste Q1
St Charles, IL 60174-3360 - Phone
- (630) 444-0077
- Fax
- (630) 444-0078
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 056.011643 | IL | Primary |
Addresses
Primary practice location
525 Tyler Rd Ste Q1
St Charles, IL 60174-3360
Mailing address
999 Alamo CT
Carol Stream, IL 60188-9302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011643 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1679010409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 ALAMO CT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601889302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TYLER RD STE Q1",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601743360",
"telephone_number": "630-444-0077",
"fax_number": "630-444-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALEN",
"first_name": "MONICA",
"middle_name": "JOANNA",
"name_prefix": "Ms.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011643",
"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 Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.