Individual provider Active NPI

Ryan Caguia

  • Occupational Therapist
  • Hinsdale, IL
National Provider Identifier
1386096311
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.015735 Issued in IL
Practice address
5609 S Elm St
Hinsdale, IL 60521-5071
Phone
(765) 520-7606
NPI assigned
Jul 1, 2016
Reactivated
Feb 5, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 056.015735 IL Primary

Addresses

Primary practice location

5609 S Elm St
Hinsdale, IL 60521-5071

Mailing address

5609 S Elm St
Hinsdale, IL 60521-5071
Phone (630) 666-2052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304003535 IL Practitioner - Occupational Therapist in Private Practice 8325483001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

15 W150 S Frontage Rd
Burr Ridge, IL 60527-6956
Phone (630) 581-7775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.015735ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Oct 26, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Oct 26, 2024 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jan 20, 2024 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jan 20, 2024 Accepting new patients

Locations

15W150 S Frontage Rd
Burr Ridge, IL 60527
Phone (630) 422-5920

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

2800 Desplaines Ave
Riverside, IL 60546
Phone (708) 443-4217

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1386096311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 S ELM ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605215071",
            "telephone_number": "630-666-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 S ELM ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605215071",
            "telephone_number": "765-520-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGUIA",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-06",
        "deactivation_date": "2019-12-13",
        "reactivation_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.