Olesya Anna Klocek, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056012789 Issued in IL

Practice address

3691 Willowcreek Rd Ste 100
Portage, IN 46368-5000

Phone

(219) 921-1444

Fax

(219) 926-6926

NPI assigned

Feb 22, 2019

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

Other names 1

• Olesya Anna Gulyk Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeshore Bone and Joint Institute, PCGroup PAC ID 3173500519, 82 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.8 of 100Reported as group

Quality

81.02

Improvement activities

40

Cost

74.12

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lakeshore Bone & Joint Institute, PC

  • Specialist
  • Chesterton, IN
  • NPI 1508853953
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1093272346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 E ANDOVER DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335239",
            "telephone_number": "630-398-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 WILLOWCREEK RD STE 100",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685000",
            "telephone_number": "219-921-1444",
            "fax_number": "219-926-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCEK",
        "first_name": "OLESYA",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLESYA",
            "last_name": "GULYK",
            "middle_name": "ANNA",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Kilgore
• Tiffany Renate Kilroy, LMHC
• Sharon Marie Davidson Kimes, APRN, FNP
• Elizabeth King, PHARMD
• Nicole L Kirkland, PTA
• Teri Koch, MSN, RN, FNP-BC
• Kota Medical PC
• Ranga R Kota, M.D.
• Stephanie Kotarski
• Katrina M Kozub, FNP

• Occupational Therapist in Portage, IN
• Providers in Portage, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.