Active NPI
Khusbu Sheth
- Occupational Therapist
- Buffalo Grove, IL
National Provider Identifier
1255984605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1131 McHenry Rd Ste 107a
Buffalo Grove, IL 60089-1369 - Phone
- (847) 305-1097
- NPI assigned
- Jul 24, 2019
- Last updated
- Mar 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1131 McHenry Rd Ste 107a
Buffalo Grove, IL 60089-1369
Mailing address
703 S Jade LN
Round Lake, IL 60073-8165
Phone (224) 217-0113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1131 McHenry Rd
Suite 107
Buffalo Grove, IL 60089-1369
Phone (847) 305-1097
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KG Therapy PLLC | Current | Accepting new patients |
Locations
1131 McHenry Rd
#107
Buffalo Grove, IL 60089
Phone (847) 305-1097
Organizations & group practices 1
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.
-
dba Therapy District
- Physical Rehabilitation Occupational Therapist
- Buffalo Grove, IL
- NPI 1366169658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1255984605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 S JADE LN",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "600738165",
"telephone_number": "224-217-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 MCHENRY RD STE 107A",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891369",
"telephone_number": "847-305-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETH",
"first_name": "KHUSBU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.