Vanessa Mikuta, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010126 Issued in IL

Practice address

921 N Damen Ave Apt 1
Chicago, IL 60622-7589

Phone

(812) 598-7454

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1811320385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N DAMEN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227589",
            "telephone_number": "812-598-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N DAMEN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227589",
            "telephone_number": "812-598-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUTA",
        "first_name": "VANESSA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005160A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mikrut, PHARMD
• Sara Mikrut, LCPC, LPHA
• Kristen Elizabeth Mikula, APRN
• Rachel P Mikula, LCSW
• Paul Matthew Mikulski, D.C., C.C.N.
• Mila C R Bacalla MD SC
• Mila Zelenkovich, D.D.S.,LTD.
• Nora Mila
• Magdy Milad, MD
• Milagros Villalobos MD SC

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

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

Verify at the official NPI Registry.