Michael Cernivec, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

056.012880 Issued in IL

Practice address

1009 State Route 22
Fox River Grove, IL 60021-1998

Phone

(847) 462-8707

NPI assigned

May 28, 2019

Last updated

May 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michael Cernivec Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1306403076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BEACON DR",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600101577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 STATE ROUTE 22",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211998",
            "telephone_number": "847-462-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNIVEC",
        "first_name": "MICHAEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "IL",
            "license": "056.012880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "CERNIVEC",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steven W. Blevins, D.C.
• Brown Spinal Care, Inc.
• Bruce M Bell M D S C
• Renee Griffin Buchanan, PA C
• Olivia Bueno, OTR/L, CHT
• Fenglan Chen, ACUPUNCTURIST
• Christine Cogburn
• Thomas Cook
• Mark R Davis II
• Dr. Jonathan Brown

• Hand Occupational Therapist in Fox River Grove, IL
• Providers in Fox River Grove, IL by specialty
• Hand Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.