Active NPI
Aiko Mendoza
- Occupational Therapist
- St Charles, IL
National Provider Identifier
1962200634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.016283
- Practice address
- 600 Dunham Rd
St Charles, IL 60174-7885 - Phone
- (630) 587-6120
- NPI assigned
- Mar 6, 2025
- Sex
- Female
- 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 | 056.016283 | IL | Primary |
Addresses
Primary practice location
600 Dunham Rd
St Charles, IL 60174-7885
Mailing address
1565 Raymond Dr Apt 202
Naperville, IL 60563-2284
Phone (815) 993-3590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250314002869 | IL | Practitioner - Occupational Therapist in Private Practice | 3870015217 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Dunham Rd
St Charles, IL 60174-7885
Phone (630) 642-2425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.016283 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 2
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
IL, Occupational Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1962200634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 RAYMOND DR APT 202",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632284",
"telephone_number": "815-993-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 DUNHAM RD",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601747885",
"telephone_number": "630-587-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "AIKO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.016283",
"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 Mar 6, 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.