KATHRYN WALDERA OTR/L
NPI 1659703205
Occupational Therapist in Chicago, IL

Active since August 06, 2013
87.08/100
CMS Quality Rating
4615 N RESERVE AVE, CHICAGO, IL 60656(773) 589-1285 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathryn Waldera Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN WALDERA OTR/L (NPI 1659703205) is an individual occupational therapist in Chicago, Illinois, licensed in Illinois (056.010179) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1659703205
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKATHRYN WALDERACredential: OTR/L
Location Address4615 N RESERVE AVEChicago, IL 60656-4145
Mailing Address4615 N Reserve AveChicago, IL 60656-4145 · (773) 589-1285
Sole ProprietorNo
Enumeration DateAugust 6, 2013
✔ NPI 1659703205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IL · 056.010179
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
4615 N RESERVE AVE, Chicago, IL 60656

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Waldera Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Waldera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology
808 S WOOD ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Waldera's NPI number?

The NPI number for Kathryn Waldera is 1659703205. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Kathryn Waldera located?

Kathryn Waldera practices at 4615 N Reserve Ave, Chicago, IL 60656. The listed phone number is (773) 589-1285.

What is Kathryn Waldera's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kathryn Waldera enrolled in Medicare?

Yes. Kathryn Waldera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Waldera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Waldera reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Waldera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Waldera was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.