Kaitlin S Ibara, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056012106 Issued in IL

Practice address

2917 N Wisner Ave Apt 1
Chicago, IL 60618-6712

Phone

(150) 897-1010

NPI assigned

May 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Chicago Lighthouse for People Who Are Blind Or Visually ImpairedGroup PAC ID 2860380805, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Chicago Lighthouse for People Who Are Blind Or Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • Chicago, IL
  • NPI 1043326309

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Tatiyana Urbin, D.C. LTD

  • Medical Specialty Clinic/Center
  • Glenview, IL
  • NPI 1750514378
  NPD (past)

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1992296834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 N WISNER AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186712",
            "telephone_number": "150-897-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N WISNER AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186712",
            "telephone_number": "150-897-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARA",
        "first_name": "KAITLIN",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iari Incorporated
• Melissa Iavarone
• Eleonora Iavorschi, APRN, FNP-BC
• Faye Gandeza Ibanez, CNP
• Onur Ibanoglu, MD
• James Ibardaloza, P.T.
• Jose Antonio Ibarra Rodriguez
• Ghislaine Imaris Ibarra-Brenneman, DPT
• Andrea Ibarra
• Carina Ibarra, A.A.S

• 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 26, 2018; 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.