Jaime Wenberg

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.006484 Issued in IL

Practice address

1614 Hunters View Dr
Mt Zion, IL 62549-1073

Phone

(217) 864-4300

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Savoy Therapy Services IncGroup PAC ID 8921260506, 13 clinicians

At Home by Enhance Therapies LLCGroup PAC ID 4183033210, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Savoy Therapy Services Inc

  • Physical Therapist
  • Savoy, IL
  • NPI 1992078471

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  IL, Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1568280535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 EVERGREEN CT",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625218774",
            "telephone_number": "217-521-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 HUNTERS VIEW DR",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491073",
            "telephone_number": "217-864-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENBERG",
        "first_name": "JAIME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.006484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Scott Thoele, O.D.
• Three Olive Branches Counseling LLC
• Amanda Torrance, L.M.T.
• Courtney Trudeau
• Dennis Ryan Vaughn, DPM
• Amber Williams, ECE, SCGE, DT
• Kimberly Sue Woods
• Dana Young, BSN, RN, CNOR, RNFA

• Occupational Therapist in Mt Zion, IL
• Providers in Mt Zion, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.