Gaynell Rembert, OTR/L
Individual provider Active NPI Occupational Therapist · Sauk Village, IL
NPI 1104229780 · NPPES record last updated Sep 26, 2014
Key facts
- NPI
- 1104229780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056010483 (IL)
- Practice address
- 22402 Helen Dr
Sauk Village, IL 60411-5093 - Phone
- (773) 407-5994
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1551 Aristides Blvd Apt
Suite 1102
Lexington, KY 40511-1671
228 Park Ave S
Suite 36053
New York, NY 10003-1502
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260204002547 | IL | Practitioner - Occupational Therapist in Private Practice | 4082193610 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227002553 | IL | MD | Massage Therapist |
| 056010483 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH Therapy Services | Occupational Therapist | Current |
Accepting new patients |
| JH Therapy Services | Occupational Therapist | Current |
Accepting new patients |
Locations
2045 W Grand Ave
Ste B36053
Chicago, IL 60612
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227002553 | IL | |
| Occupational Therapist | 225X00000X | 056010483 | IL | Yes |
Addresses
Primary practice location
22402 Helen Dr
Sauk Village, IL 60411-5093
Mailing address
22402 Helen Dr
Sauk Village, IL 60411-5093
Phone (773) 407-5994
Other providers in Sauk Village, IL
- Pioneer Concepts Inc
- Pioneer Concepts Inc
- Purity Transportation Company
- Quality Phlebotomy L.L.C
- Joy Raggs
- Nushun Rice
- SBW Family Transportation LLC
- The Carter Williams Group, LLC
- The Carter Williams Group, LLC
- The Carter Williams Group, LLC
All providers in Sauk Village, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.