Individual provider Active NPI

Janet D Kelly, OT

  • Occupational Therapist
  • Munster, IN
National Provider Identifier
1679665046
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056003572 Issued in IL
Practice address
300 Ridge Rd
Munster, IN 46321-1528
Phone
(219) 836-0027
Fax
(219) 836-0067
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056003572 IL Primary
Occupational Therapist 225X00000X 31003868A IN

Addresses

Primary practice location

300 Ridge Rd
Munster, IN 46321-1528

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 1

IdentifierTypeStateIssuer
P01228322OtherINMEDICARE RAILROAD

Other names 1

  • Janet D Buitron Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101111000160 IN Practitioner - Occupational Therapist in Private Practice 5496940892 Reassigns benefits to 1 organization
I20130219000272 IL Practitioner - Occupational Therapist in Private Practice 5496940892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1738 165TH St
Suite a
Hammond, IN 46320-2838
Phone (219) 844-1782

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056003572ILMDOccupational Therapist
31003868AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Sep 24, 2012 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Sep 24, 2012 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC CurrentSince Sep 24, 2012 Accepting new patients
Centers for Hand & Physical Rehabilitation, Inc. Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

1100 Joliet St
Ste 105
Dyer, IN 46311
Phone (219) 864-3300

7443 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 844-8100

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

8455 Broadway
Merrillville, IN 46410
Phone (219) 769-7211

1650 45th St
Ste 2D
Munster, IN 46321
Phone (219) 836-4921

300 Ridge Rd
Munster, IN 46321
Phone (219) 836-0027

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1679665046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIDGE RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211528",
            "telephone_number": "219-836-0027",
            "fax_number": "219-836-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JANET",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003572",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003868A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01228322",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "BUITRON",
            "middle_name": "D",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.