Individual provider Active NPI

Olivia Bueno, OTR/L, CHT

  • Occupational Therapist
  • Fox River Grove, IL
National Provider Identifier
1154053361
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056012242 Issued in IL
Practice address
1009 Il Route 22 Suite 1
Fox River Grove, IL 60021-1339
Phone
(847) 462-8707
Fax
(847) 462-9208
NPI assigned
Jun 27, 2022
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 056012242 IL Primary

Addresses

Primary practice location

1009 Il Route 22 Suite 1
Fox River Grove, IL 60021-1339

Mailing address

1009 Il Route 22 Suite 1
Fox River Grove, IL 60021
Phone (847) 462-8707

Other practice location 1

2180 Pfingsten Rd Ste 3100
Glenview, IL 60026-1339
Phone (847) 503-3810 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720001917 IL Practitioner - Occupational Therapist in Private Practice 9638539786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1009 Il Route 22
Suite 1
Fox River Grove, IL 60021-1998
Phone (847) 462-8707

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Jun 12, 2023 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1009 State Route 22
Ste 1
Fox River Grove, IL 60021
Phone (847) 462-8707

Organizations & group practices 2

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1154053361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 IL ROUTE 22 SUITE 1",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "60021",
            "telephone_number": "847-462-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 IL ROUTE 22 SUITE 1",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211339",
            "telephone_number": "847-462-8707",
            "fax_number": "847-462-9208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2180 Pfingsten Rd Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261339",
            "country_code": "US",
            "telephone_number": "847-503-3810 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENO",
        "first_name": "OLIVIA",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox River Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.