Individual provider Active NPI

Mignon Juanita Lavigne, OT

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1487829529
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.002961 Issued in IL
Practice address
8559 S Indiana Ave
Chicago, IL 60619-5622
Phone
(773) 488-5369
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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 056.002961 IL Primary

Addresses

Primary practice location

8559 S Indiana Ave
Chicago, IL 60619-5622

Mailing address

8559 S Indiana Ave
Chicago, IL 60619-5622
Phone (773) 488-5369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802002240 IL Practitioner - Occupational Therapist in Private Practice 4486015724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians
Illinois Home Therapy LLCGroup PAC ID 5799178968, 18 clinicians

Practice addresses (Care Compare)

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

8140 McCormick Blvd
Suite 141
Skokie, IL 60076-2920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.002961ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC CurrentSince Mar 10, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Mar 10, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Mar 10, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Mar 10, 2025 Accepting new patients
Illinois Home Therapy LLC Occupational Therapist CurrentSince May 15, 2023 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

8140 McCormick Blvd
Ste 141
Skokie, IL 60076
Phone (833) 272-8624

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1487829529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8559 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195622",
            "telephone_number": "773-488-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8559 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195622",
            "telephone_number": "773-488-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "MIGNON",
        "middle_name": "JUANITA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.002961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.