CARLA ORTIZ (OTD, OTR/L) – Occupational Therapist, NPI 1063300606

CARLA ORTIZ (OTD, OTR/L) is a healthcare provider. based in Chicago, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD, OTR/L. They hold a License No. 056.016589 (IL). The NPI Number for CARLA ORTIZ (OTD, OTR/L) is 1063300606

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CARLA ORTIZ (OTD, OTR/L)
NPI
1063300606
Phone
(630) 788-2751
Address
1107 W WRIGHTWOOD AVE APT 3
Enumeration Date
24 June 2025
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
3317752813
Graduation Year
2024 (2 years ago)
PAC ID
4183138175
Group Practice PAC ID
9537499272
Professional Enrollment ID
I20250710002006
Address ID
IL605151196DO3050XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for CARLA ORTIZ (OTD, OTR/L)

  • 1107 W WRIGHTWOOD AVE APT 3

    CHICAGO, IL 606140602

    Phone: (630) 788-2751

    Type: Mailing

  • 3050 FINLEY RD STE 301

    DOWNERS GROVE, IL 605151196

    Phone: (331) 775-2813

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250710002006IOccupational Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537499272View full group profile
NameSpecialtyState
Qualified Speech Language PathologistIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeIL
-IL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Where can patients find CARLA ORTIZ (OTD, OTR/L)'s NPI?
You can confirm CARLA ORTIZ (OTD, OTR/L) with NPI 1063300606; it appears in the national provider directory.
Is CARLA ORTIZ (OTD, OTR/L) currently active in the NPI registry?
CMS-published data lists CARLA ORTIZ (OTD, OTR/L) as an active registrant.
What field does CARLA ORTIZ (OTD, OTR/L) work in?
You can think of CARLA ORTIZ (OTD, OTR/L) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is CARLA ORTIZ (OTD, OTR/L)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for CARLA ORTIZ (OTD, OTR/L).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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