Individual provider Active NPI

Evan Semmelhack

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1205398880
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2437 N Southport Ave
Chicago, IL 60614-2060
Phone
(177) 347-2840
NPI assigned
Apr 3, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 Primary

Addresses

Primary practice location

2437 N Southport Ave
Chicago, IL 60614-2060

Mailing address

1761 W Augusta Blvd Apt 3
Chicago, IL 60622-6794

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220625000495 IL Practitioner - Occupational Therapist in Private Practice 3274912993 Reassigns benefits to 3 organizations

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
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

1000 Sunset Ridge Rd
Northbrook, IL 60062-4008
Phone (224) 300-7284

13114 Western Ave
Suite 3
Blue Island, IL 60406-2440
Phone (708) 824-0515

2055 Clearwater Dr
Oak Brook, IL 60523-8831
Phone (630) 415-2900

4239 N Oak Park Ave
Chicago, IL 60634-1410
Phone (708) 905-6024

6700 S Keating Ave
Chicago, IL 60629-5660
Phone (708) 905-6026

901 Angle Tarn
West Dundee, IL 60118-0045
Phone (224) 802-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Mar 2, 2026 Accepting new patients
Reinvent Health Inc CurrentSince Jan 7, 2026 Accepting new patients
Cortlyn Therapy, PC Occupational Therapist CurrentSince Apr 1, 2022 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Occupational Therapist CurrentSince Mar 2, 2026 Accepting new patients

Locations

13114 Western Ave
Ste 3
Blue Island, IL 60406
Phone (708) 335-4081

2 River Pl
Ste B
Lansing, IL 60438
Phone (708) 895-9860

17236 Harlem Ave
Ste 140
Tinley Park, IL 60477

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 413-5817

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

Organizations & group practices 4

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1205398880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W AUGUSTA BLVD APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142060",
            "telephone_number": "177-347-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMELHACK",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.