Individual provider Active NPI

Heath Anthony Faubel, O.T.R./L., CHT

  • Occupational Therapist
  • Orland Park, IL
National Provider Identifier
1780979187
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056006012 Issued in IL
Practice address
10719 160TH St
Orland Park, IL 60467-5541
Phone
(708) 226-3652
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 056-006012 IL
Occupational Therapist 225X00000X 056006012 IL Primary

Addresses

Primary practice location

10719 160TH St
Orland Park, IL 60467-5541

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
I20110810000367 IL Practitioner - Occupational Therapist in Private Practice 3678742558 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Consultants SCGroup PAC ID 8022911031, 27 clinicians

Practice addresses (Care Compare)

4220 W 95TH St
Suite 100
Oak Lawn, IL 60453-3072
Phone (708) 226-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056-006012ILMDSpecialist
056006012ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Feb 9, 2017 Accepting new patients
Midwest Orthopedic Consultants SC CurrentSince Aug 1, 2017 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Feb 9, 2017 Accepting new patients
Dr Jerry Chow MD LTD Occupational Therapist CurrentSince Jul 28, 2010 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

5255 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-2977

4220 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 226-3300

15300 West Ave
Ste 310
Orland Park, IL 60462
Phone (708) 349-3388

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

15127 S La Grange Rd
Orland Park, IL 60462
Phone (708) 403-4497

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1780979187",
    "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": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10719 160TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675541",
            "telephone_number": "708-226-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBEL",
        "first_name": "HEATH",
        "middle_name": "ANTHONY",
        "credential": "O.T.R./L., CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "056-006012",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.