Active NPI
Candice Brattstrom Barrera, OT
- Occupational Therapist
- Homewood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056001712
- Practice address
- 18237 Kedzie Ave
Homewood, IL 60430-1411 - Phone
- (708) 957-1868
- Fax
- (708) 957-1925
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056001712 | IL | Primary |
Addresses
Primary practice location
18237 Kedzie Ave
Homewood, IL 60430-1411
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00973809 | Other | IL | MEDICARE RAILROAD |
| P00852538 | Other | IL | MEDICARE RAILROAD |
Other names 1
- Candice Brattstrom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3330 W 17TH St
Hazel Crest, IL 60429
Phone (708) 249-8347
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Occupational Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Occupational Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Current | Accepting new patients | |
| Accelerated Rehabilitation Centers LTD | Occupational Therapist | Past | Accepting new patients |
| Accelerated Rehabilitation Centers, LTD | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4131 167th St
Country Club Hills, IL 60478
Phone (708) 365-5507
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
3330 W 177th St
Ste 2B
Hazel Crest, IL 60429
Phone (708) 249-8346
18237 Kedzie Ave
Homewood, IL 60430
Phone (630) 598-2650
4555 Lincoln Hwy
Matteson, IL 60443
Phone (708) 283-0021
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
16651 Harlem Ave
Tinley Park, IL 60477
Phone (708) 444-2467
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
Organizations & group practices 8
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.
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- Physical Therapist
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- NPI 1861503542
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1629397401
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Physical Therapist
- Plainfield, IL
- NPI 1861665234
Occupational Therapist
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
Occupational Therapist
-
- Physical Therapist
- Roscoe, IL
- NPI 1043604184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1073769394",
"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",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18237 KEDZIE AVE",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604301411",
"telephone_number": "708-957-1868",
"fax_number": "708-957-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATTSTROM BARRERA",
"first_name": "CANDICE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056001712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00973809",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00852538",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CANDICE",
"last_name": "BRATTSTROM",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.