Active NPI
Maud Makoni, OTR,SIPT-C
- Occupational Therapist
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056005850
- Practice address
- 3082 Caton Farm Rd
Joliet, IL 60435-1455 - Phone
- (815) 577-9936
- Fax
- (815) 577-9938
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 17, 2023
- 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 | 056005850 | IL | Primary |
Addresses
Primary practice location
3082 Caton Farm Rd
Joliet, IL 60435-1455
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
16108 S Rte 59 Ste 132
Plainfield, IL 60586-2920
Phone (630) 967-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 692738322001 | Medicaid | IL |
Other names 1
- Maud Ushewokunze
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmakoni170803@dulyhealthandcare.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16651 Harlem Ave
Tinley Park, IL 60477-2895
Phone (708) 444-2838
3082 Caton Farm Rd
Joliet, IL 60435-1455
Phone (815) 577-9936
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056005850 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville LLC | Current | Accepting new patients | |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Current | Accepting new patients |
Locations
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
3082 Caton Farm Rd
Joliet, IL 60435
Phone (630) 783-2001
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
16651 Harlem Ave
Tinley Park, IL 60477
Phone (708) 444-2467
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
Interoperability endpoints
- mmakoni170803@dulyhealthandcare.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
dba ATI Physical Therapy
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1629397401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1962529867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 CATON FARM RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604351455",
"telephone_number": "815-577-9936",
"fax_number": "815-577-9938"
}
],
"practiceLocations": [
{
"address_1": "16108 S Rte 59 Ste 132",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "IL",
"postal_code": "605862920",
"country_code": "US",
"telephone_number": "630-967-2000",
"fax_number": "815-314-5112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKONI",
"first_name": "MAUD",
"name_prefix": "Mrs.",
"credential": "OTR,SIPT-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056005850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692738322001",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmakoni170803@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "16108 S Rte 59 Ste 132",
"city": "Plainfield",
"state": "IL",
"country_code": "US",
"postal_code": "605862920",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAUD",
"last_name": "USHEWOKUNZE",
"credential": "OTR,SIPT-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.