Active NPI
Jerry Brasel, OT
- Occupational Therapist
- Schererville, IN
National Provider Identifier
1598044851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001355A
- Practice address
- 5510 W Lincoln Hwy
(US Route 30)
Schererville, IN 46375-1020 - Phone
- (219) 865-1436
- NPI assigned
- Aug 4, 2011
- Last updated
- Apr 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31001355A | IN | Primary |
| Occupational Therapist | 225X00000X | 056-002245 | IL |
Addresses
Primary practice location
5510 W Lincoln Hwy
(US Route 30)
Schererville, IN 46375-1020
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-002245 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico, LTD | Occupational Therapist | Current | Accepting new patients |
| Accelerated Rehabilitation Centers LTD | Occupational Therapist | Past | Accepting new patients |
Locations
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
Organizations & group practices 2
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.
-
dba Athletico Physical Therapy
- Clinic/Center
- Schererville, IN
- NPI 1689974131
Occupational Therapist
-
dba Athletico Physical Therapy
- Occupational Therapist
- Schererville, IN
- NPI 1871995985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1598044851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-1916",
"fax_number": "630-928-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 W LINCOLN HWY",
"address_2": "(US ROUTE 30)",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751020",
"telephone_number": "219-865-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASEL",
"first_name": "JERRY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001355A",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-002245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.