Active NPI
Janet D Kelly, OT
- Occupational Therapist
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056003572
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01228322 | Other | IN | MEDICARE RAILROAD |
Other names 1
- Janet D Buitron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056003572 | IL | MD | Occupational Therapist |
| 31003868A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville LLC | Current | 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.
-
- Physical Therapist
- Hammond, IN
- NPI 1023313194
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Physical Therapist
- Hammond, IN
- NPI 1871887398
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Hand Occupational Therapist
- Orland Park, IL
- NPI 1386736130
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.