Individual provider Active NPI

Jon Peter Verdoni, OTR

  • Occupational Therapist
  • Crystal Lake, IL
National Provider Identifier
1447693437
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.007730 Issued in IL
Practice address
1000 E Brighton LN
Crystal Lake, IL 60012-2074
Phone
(815) 477-6400
NPI assigned
Apr 9, 2013
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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 056.007730 IL Primary

Addresses

Primary practice location

1000 E Brighton LN
Crystal Lake, IL 60012-2074

Mailing address

1000 E Brighton LN
Crystal Lake, IL 60012-2074
Phone (815) 477-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220127001463 IL Practitioner - Occupational Therapist in Private Practice 6800288614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.007730ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inhometherapy Inc Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

150 Harvester Dr
Ste 190
Burr Ridge, IL 60527
Phone (866) 573-2556

234 Mall Blvd
Ste G50
King of Prussia, PA 19406
Phone (610) 379-2852

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.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1447693437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E BRIGHTON LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122074",
            "telephone_number": "815-477-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BRIGHTON LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122074",
            "telephone_number": "815-477-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDONI",
        "first_name": "JON",
        "middle_name": "PETER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.007730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.