Judith Micek, MOT/L,CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-000410 Issued in IL

Practice address

1256 W Boughton Rd
Bolingbrook, IL 60440-6568

Phone

(630) 378-9420

Fax

(630) 378-9169

NPI assigned

Feb 4, 2014

Last updated

Jun 21, 2024By the provider in NPPES

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, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Orthopedic Consultants SCGroup PAC ID 8022911031, 27 clinicians

Athletic and Therapeutic Institute of Bourbonnais, LLCGroup PAC ID 4183692577, 171 clinicians

Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.61 of 100Reported as group

Quality

90

Improvement activities

40

Cost

70.36

Merit-based Incentive Payment System (MIPS)

Final score

86.49 of 100Reported as group

Quality

90

Improvement activities

40

Cost

73.3

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic and Therapeutic Institute of Bourbonnais, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1861503542
  Medicare reassignment Care Compare group NPD
• Athletic and Therapeutic Institute of Naperville LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  Medicare reassignment Care Compare group NPD
• Midwest Orthopedic Consultants SC

  dba Midwest Orthopaedic Consultants SC

  • Orthopaedic Surgery Physician
  • Orland Park, IL
  • NPI 1457373953
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  Occupational Therapist

  Medicare reassignment NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbia, IL
  • NPI 1124766696

  Occupational Therapist

  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hazel Crest, IL
  • NPI 1043952641
  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1063835551",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406568",
            "telephone_number": "630-378-9420",
            "fax_number": "630-378-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICEK",
        "first_name": "JUDITH",
        "credential": "MOT/L,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-000410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Melendez, MS, LAT, ATC
• Meli Development Center
• Christina Tingson Mercado
• Ryan Mettler, DPT
• Mga Home Health Care, Inc.
• Midwest Express Care 2, Inc
• Midwest Functional Psychiatry
• Midwest Hyperbaric Institute, P.C.
• Midwest Rehabilitation & Wellness Center (Midwest Wellness Center)
• Midwest Wound Care Incorporated

• Occupational Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.