Active NPI
Grace Withrow
- Occupational Therapist
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 790 Remington Blvd
Bolingbrook, IL 60440-4909 - Phone
- (866) 370-8206
- NPI assigned
- Jun 30, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
790 Remington Blvd
Bolingbrook, IL 60440-4909
Mailing address
1003 Oak Grove CT
Valparaiso, IN 46383-2049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31007741A | Other | IN | OT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Indiana University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3691 Willowcreek Rd
Portage, IN 46368-5076
Phone (219) 921-1444
9001 Broadway
Merrillville, IN 46410-7041
Phone (219) 795-3360
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.8 of 100
- Quality
- 81.02
- Improvement activities
- 40
- Cost
- 74.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Current | Accepting new patients |
| Lakeshore Bone & Joint Institute, PC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401
500 E 109th Ave
Crown Point, IN 46307
1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
8455 Broadway
Merrillville, IN 46410
Phone (219) 769-7211
3691 Willowcreek Rd
Portage, IN 46368
Phone (219) 759-4380
3691 Willowcreek Rd
Ste 100
Portage, IN 46368
Phone (219) 759-4380
833 W Lincoln Hwy
Ste 110E
Schererville, IN 46375
Phone (219) 427-0700
71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576
Organizations & group practices 7
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.
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- Specialist
- Chesterton, IN
- NPI 1508853953
-
- Orthopaedic Surgery Physician
- Merrillville, IN
- NPI 1629083076
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Physical Therapist
- Hammond, IN
- NPI 1023313194
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
- Physical Therapist
- Merrillville, IN
- NPI 1568733327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1346972015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 OAK GROVE CT",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHROW",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "31007741A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.