Individual provider Active NPI

Jennifer Bernat

  • Occupational Therapist
  • Buffalo Grove, IL
National Provider Identifier
1710603238
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.015166 Issued in IL
Practice address
500 McHenry Rd
Buffalo Grove, IL 60089-1705
Phone
(847) 416-8926
NPI assigned
Oct 17, 2022
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 056.015166 IL Primary

Addresses

Primary practice location

500 McHenry Rd
Buffalo Grove, IL 60089-1705

Mailing address

1524 Lakeview Dr Apt 132
Darien, IL 60561-4939
Phone (708) 712-3487

Other practice location 1

1111 S Linneman Rd
Mount Prospect, IL 60056-4128
Phone (847) 250-6029

Other practice location 2

2200 Golf Rd
Glenview, IL 60025-4903
Phone (847) 416-8912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129003317 IL Practitioner - Occupational Therapist in Private Practice 9335517044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

1111 S Linneman Rd
Mount Prospect, IL 60056-4128
Phone (844) 913-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Oct 14, 2022 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Oct 14, 2022 Accepting new patients

Locations

1111 S Linneman Rd
Mt Prospect, IL 60056
Phone (844) 913-3553

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1710603238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 LAKEVIEW DR APT 132",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614939",
            "telephone_number": "708-712-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891705",
            "telephone_number": "847-416-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Linneman Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600564128",
            "country_code": "US",
            "telephone_number": "847-250-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600254903",
            "country_code": "US",
            "telephone_number": "847-416-8912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAT",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.