Individual provider Active NPI

Mansoor Kamal Sikander, O.T.R.

  • Occupational Therapist
  • Evanston, IL
National Provider Identifier
1710004627
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056009090 Issued in IL
Practice address
2323 McDaniel Ave
Evanston, IL 60201-2549
Phone
(630) 207-1176
NPI assigned
Mar 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160003627 IL
Occupational Therapist 225X00000X 056009090 IL Primary

Addresses

Primary practice location

2323 McDaniel Ave
Evanston, IL 60201-2549

Mailing address

2843 Windsor Dr Apt 109
Lisle, IL 60532-6203
Phone (630) 207-1176

Other practice location 1

10124 S Kedzie Ave
Evergreen Park, IL 60805-3738
Phone (708) 907-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201030000959 IL Practitioner - Occupational Therapist in Private Practice 3072923168 Reassigns benefits to 2 organizations
I20250605000171 IN Practitioner - Occupational Therapist in Private Practice 3072923168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

110 W Schaumburg Rd
Streamwood, IL 60107-1459
Phone (630) 444-7087

12446 S Van Dyke Rd
Plainfield, IL 60585-2700
Phone (815) 216-4042

1675 W 7TH St
Cortlyn at Astral at Auburn
Auburn, IN 46706-2084
Phone (260) 619-7060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
160003627ILMDPhysical Therapy Assistant
056009090ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortlyn Therapy, PC Occupational Therapist CurrentSince Apr 14, 2025 Accepting new patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Nov 17, 2025 Accepting new patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Nov 17, 2025 Accepting new patients

Locations

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

1675 W 7th St
Auburn, IN 46706
Phone (260) 247-6632

5800 Granite Pkwy
Ste 325
Plano, TX 75024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1710004627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 WINDSOR DR APT 109",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605326203",
            "telephone_number": "630-207-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MCDANIEL AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012549",
            "telephone_number": "630-207-1176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10124 S Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608053738",
            "country_code": "US",
            "telephone_number": "708-907-7113",
            "fax_number": "708-907-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKANDER",
        "first_name": "MANSOOR",
        "middle_name": "KAMAL",
        "name_prefix": "Mr.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160003627",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.