Active NPI
Jon Peter Verdoni, OTR
- Occupational Therapist
- Crystal Lake, IL
National Provider Identifier
1447693437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.007730
- Practice address
- 1000 E Brighton LN
Crystal Lake, IL 60012-2074 - Phone
- (815) 477-6400
- NPI assigned
- Apr 9, 2013
- Last updated
- Apr 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.007730 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inhometherapy Inc | Occupational Therapist | Current | 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.