Individual provider Active NPI

Akshay A Gupta, MS,MA,OTR/L

  • Occupational Therapist
  • Carol Stream, IL
National Provider Identifier
1720066368
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056-002368 Issued in IL
Practice address
327 Gundersen Dr
Suite C
Carol Stream, IL 60188-2402
Phone
(630) 784-3251
Fax
(630) 665-8188
NPI assigned
Jan 4, 2006
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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 056-002368 IL Primary

Addresses

Primary practice location

327 Gundersen Dr
Suite C
Carol Stream, IL 60188-2402

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000376 IL Practitioner - Occupational Therapist in Private Practice 9638165475 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1710 N Randall Rd
Suite 140
Elgin, IL 60123-9401
Phone (630) 938-4011

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (847) 468-1400

420 W Northwest Hwy
Suite M
Barrington, IL 60010-6812
Phone (847) 382-6766

Merit-based Incentive Payment System (MIPS)

Final score
81.69 of 100Reported as group
Quality
74.66
Promoting interoperability
100
Improvement activities
40
Cost
64.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
056-002368ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Occupational Therapist CurrentSince Dec 21, 2020 Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Physical Therapy Solutions Inc CurrentSince Feb 1, 2018 Accepting new patients
Fox Valley Orthopaedic Associates, S.C. CurrentSince Dec 6, 2021 Accepting new patients
Home Exercise Providers, LLC CurrentSince Oct 23, 2020 Accepting new patients
Athletico LTD Occupational Therapist CurrentSince Dec 21, 2020 Accepting new patients
Barrington Orthopedic Specialists LTD Occupational Therapist Past Accepting new patients

Locations

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

990 Elk Grove Town Ctr
Elk Grove Vlg, IL 60007
Phone (847) 290-1111

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

1031 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 895-1866

810 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 240-2000

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

2674 Washington St
Waukegan, IL 60085
Phone (847) 336-8089

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Organizations & group practices 8

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1720066368",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 GUNDERSEN DR",
            "address_2": "SUITE C",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882402",
            "telephone_number": "630-784-3251",
            "fax_number": "630-665-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AKSHAY",
        "middle_name": "A",
        "credential": "MS,MA,OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-002368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.