Individual provider Active NPI

Jastine Sahota, OT

  • Occupational Therapist
  • Tinley Park, IL
National Provider Identifier
1801336391
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.011868 Issued in IL
Practice address
8819 Fairfield LN
Tinley Park, IL 60487-4432
Phone
(708) 439-5612
Fax
(708) 439-5612
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 056.011868 IL Primary

Addresses

Primary practice location

8819 Fairfield LN
Tinley Park, IL 60487-4432

Mailing address

8819 Fairfield LN
Tinley Park, IL 60487-4432
Phone (708) 439-5612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711001886 IL Practitioner - Occupational Therapist in Private Practice 8820444078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goodlife Physical TherapyGroup PAC ID 6608924865, 10 clinicians

Practice addresses (Care Compare)

14753 Founders Xing
Homer Glen, IL 60491-6716
Phone (708) 645-7700

16517 106TH CT
Orland Park, IL 60467-4545
Phone (708) 966-4386

16517 S 106TH Court
Orland Park, IL 60467-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.011868ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodlife Physical Therapy CurrentSince Sep 12, 2023 Accepting new patients
Beyond Physical Therapy, PLLC CurrentSince Dec 28, 2023 Accepting new patients
Mett Therapy Services, Inc. Past Accepting new patients

Locations

14753 Founders Xing
Homer Glen, IL 60491
Phone (708) 645-7700

10730 W 143rd St
Ste 31
Orland Park, IL 60462
Phone (708) 966-2945

16517 106th Ct
Orland Park, IL 60467
Phone (708) 966-4386

Organizations & group practices 3

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1801336391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 FAIRFIELD LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874432",
            "telephone_number": "708-439-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 FAIRFIELD LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874432",
            "telephone_number": "708-439-5612",
            "fax_number": "708-439-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHOTA",
        "first_name": "JASTINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.