Individual provider Active NPI

Frank Gerard Czuba, OTR/L

  • Gerontology Occupational Therapist
  • Oak Lawn, IL
National Provider Identifier
1174854707
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
056.003247 Issued in IL
Practice address
6300 W 95TH St
Oak Lawn, IL 60453-2256
Phone
(708) 233-5116
NPI assigned
Jan 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 056.003247 IL Primary

Addresses

Primary practice location

6300 W 95TH St
Oak Lawn, IL 60453-2256

Mailing address

633 Carpenter Ave
Oak Park, IL 60304-1104
Phone (708) 209-5664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.003247ILMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholehealth Therapy Partners, Inc CurrentSince Nov 1, 2016 Accepting new patients
Quality Therapy & Consultation, Inc. Past Accepting new patients

Locations

715 Lake St
Ste 410
Oak Park, IL 60301
Phone (708) 209-8987

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1174854707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 CARPENTER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041104",
            "telephone_number": "708-209-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532256",
            "telephone_number": "708-233-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZUBA",
        "first_name": "FRANK",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IL",
            "license": "056.003247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.