IndividualActive
Andres Ibanez, COTA
NPI 1235570953 · Occupational Therapy Assistant · Niles, IL
Provider details
- NPI number
- 1235570953
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- 057.003404 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6840 W Touhy Ave
Niles, IL 60714-4520
Phone: (773) 470-6464
Street-level locationGet directions
Mailing address
1400 Kirk St
Evanston, IL 60202-3218
Registry dates
- Enumerated
- 2013-07-10
- Last updated
- 2013-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.