Nicholas G Bianco, OTR/L
Individual provider Active NPI Occupational Therapist · Batavia, IL
NPI 1124668835 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1124668835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056006593 (IL)
- Practice address
- 700 W Fabyan Pkwy
Batavia, IL 60510-1269 - Phone
- (630) 802-3599
- NPI assigned
- Jan 10, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Functional Pathways Preferred of Tennessee LLC
Practice addresses (Care Compare)
2625 Techny Rd
Northbrook, IL 60062-5995
Phone (888) 531-2204
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250903002859 | IL | Practitioner - Occupational Therapist in Private Practice | 1951803675 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056006593 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pathways Preferred of Tennessee LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
700 W Fabyan Pkwy
Batavia, IL 60510
Phone (630) 239-1133
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056006593 | IL | Yes |
Addresses
Primary practice location
700 W Fabyan Pkwy
Batavia, IL 60510-1269
Mailing address
1290 McDole Dr
Sugar Grove, IL 60554-9829
Phone (630) 802-3599
Other practice location 1
1290 McDole Dr
Sugar Grove, IL 60554-9829
Phone (630) 802-3599
Other names
- Nick G Bianco
Other providers in Batavia, IL
- Amanda Elise Berger
- Mark Bernhard
- Linda Rose Bertani
- Beyond Physio PLLC
- Nisha Bhat
- Emma Blackmon
- Joshua Jay Bletzinger
- Adam N Blonsky
- Blue Heron Counseling and Assessment
- Rochelle Lilian Borkhovik
All providers in Batavia, 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 Jan 10, 2020. 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.