Cheryl Kizelevicus

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

56006766 Issued in IL

Practice address

2 Keewaydin Dr
Salem, NH 03079-2839

Phone

(800) 995-2673

Fax

(866) 420-1055

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

Yes

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Rehab Physical Therapy SCGroup PAC ID 3173748498, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Healing Rehab Physical Therapy SC

  • Physical Therapy Clinic/Center
  • Bloomingdale, IL
  • NPI 1952666828
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1124215934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 DIXON ST",
            "address_2": "UNIT 101",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301044",
            "telephone_number": "708-359-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "800-995-2673",
            "fax_number": "866-420-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZELEVICUS",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "56006766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Kinney, OTR/L
• Katherine Kipouras, P.T.
• Kirk Psychiatry, PLLC
• Carys A Kirk, PA
• Stephen M Kirk, M.D.
• David Klebenov, M.D.
• Alisa Kline
• Glenn J Kneeland, D.C.
• Beth H Kohn, O.D.
• Mackenzie Kolanda, DPT

• Occupational Therapist in Salem, NH
• Providers in Salem, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.