Active NPI
Gina Nicole Schergen, MS-OTR/L
- Occupational Therapist
- Countryside, IL
National Provider Identifier
1306275888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056-010344
- Practice address
- 100 W Plainfield Rd
Countryside, IL 60525-2869 - Phone
- (708) 588-0833
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056010344 | IL | |
| Occupational Therapist | 225X00000X | 056-010344 | IL | Primary |
Addresses
Primary practice location
100 W Plainfield Rd
Countryside, IL 60525-2869
Mailing address
100 W Plainfield Rd.
Suite 100
Countryside, IL 60525
Phone (708) 588-0833
Other names 1
- Gina Nicole Lococo
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
- Rush Medical College of Rush University, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 W Plainfield Rd
Suite 100
Countryside, IL 60525-2654
Phone (708) 588-0833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-010344 | IL | MD | Occupational Therapist |
| 056010344 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Independence Through Conductive Education Inc | Occupational Therapist | Current | Accepting new patients |
Locations
100 W Plainfield Rd
Ste 100
Countryside, IL 60525
Phone (708) 588-0833
100 W Plainfield Rd
Countryside, IL 60525
Phone (708) 588-0833
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 and National Provider Directory roles.
-
- Occupational Therapist
- Countryside, IL
- NPI 1114083672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1306275888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W PLAINFIELD RD.",
"address_2": "SUITE 100",
"city": "COUNTRYSIDE",
"state": "IL",
"postal_code": "60525",
"telephone_number": "708-588-0833",
"fax_number": "708-588-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W PLAINFIELD RD",
"city": "COUNTRYSIDE",
"state": "IL",
"postal_code": "605252869",
"telephone_number": "708-588-0833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERGEN",
"first_name": "GINA",
"middle_name": "NICOLE",
"credential": "MS-OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056010344",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-010344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "LOCOCO",
"middle_name": "NICOLE",
"credential": "MS-OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Countryside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.