Individual provider Active NPI

Kurt Jon Muskopf, OTRIL CHT

  • Occupational Therapist
  • Fairview Heights, IL
National Provider Identifier
1114036860
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056006024 Issued in IL
Practice address
5900 N Illinois
Ste 9
Fairview Heights, IL 62208
Phone
(314) 621-1416
Fax
(618) 624-9330
NPI assigned
Aug 29, 2006
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056006024 IL Primary

Addresses

Primary practice location

5900 N Illinois
Ste 9
Fairview Heights, IL 62208

Mailing address

15 Apex Dr
Highland, IL 62249-1282
Phone (618) 651-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040701001251 IL Practitioner - Occupational Therapist in Private Practice 8628055274 Reassigns benefits to 2 organizations
I20050304000645 MO Practitioner - Occupational Therapist in Private Practice 8628055274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, shared by 8 NPIs, 104 clinicians

Practice addresses (Care Compare)

144 Lincoln Place CT
Suite 1
Belleville, IL 62221-5878
Phone (618) 233-5163

884 Woods Mill Rd
Suite 200
Ballwin, MO 63011-3657
Phone (636) 238-4910

Merit-based Incentive Payment System (MIPS)

Final score
76.03 of 100Reported as group
Quality
74.47
Improvement activities
40
Cost
66.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
056006024ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC CurrentSince Feb 16, 2026 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Dec 26, 2018 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Nov 3, 2009 Accepting new patients
LMT of Illinois, LLC CurrentSince Aug 1, 2014 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Nov 3, 2009 Accepting new patients
Apex Physical Therapy Past Accepting new patients
Prorehab, PC Past Accepting new patients

Locations

144 Lincoln Place Ct
Ste 1
Belleville, IL 62221
Phone (618) 233-5163

3030 Frank Scott Pkwy W
Ste 9
Belleville, IL 62223
Phone (618) 235-8565

2323 Old Plank Rd
#A
Chester, IL 62233
Phone (618) 826-2949

200 Admiral Trost Rd
Ste 2
Columbia, IL 62236
Phone (618) 281-3433

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

884 Woods Mill Rd
Ste 200
Ballwin, MO 63011
Phone (636) 238-4910

13732 Olive Blvd
Chesterfield, MO 63017
Phone (314) 786-5643

4500 Telegraph Rd
Ste 204
Saint Louis, MO 63129
Phone (314) 487-1204

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1114036860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-651-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N ILLINOIS",
            "address_2": "STE 9",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "314-621-1416",
            "fax_number": "618-624-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSKOPF",
        "first_name": "KURT",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "OTRIL CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.