Individual provider Active NPI

Jennifer A Gits Carney, MOT, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Tinley Park, IL
National Provider Identifier
1871816157
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
056004939 Issued in IL
Practice address
17837 80TH Ave
Tinley Park, IL 60477-5023
Phone
(708) 342-2500
Fax
(708) 342-1454
NPI assigned
Mar 1, 2010
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 056004939 IL Primary

Addresses

Primary practice location

17837 80TH Ave
Tinley Park, IL 60477-5023

Mailing address

17837 80TH Ave
Tinley Park, IL 60477-5023
Phone (708) 342-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120725000433 IL Practitioner - Occupational Therapist in Private Practice 7517123243 Reassigns benefits to 2 organizations
I20240223000348 IN Practitioner - Occupational Therapist in Private Practice 7517123243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10110 Donald S Powers Dr
Suite 101B
Munster, IN 46321-4070
Phone (219) 961-9480

4700 Gilbert Ave
Suite 51
Western Springs, IL 60558-1664
Phone (708) 387-1750

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056004939ILMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Aug 24, 2020 Accepting new patients
Hinsdale Orthopaedic Associates, S.C. Current Accepting new patients
Hinsdale Orthopaedic Associates, SC CurrentSince Jun 8, 2018 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Aug 24, 2020 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

19558 S Harlem Ave
Ste 4
Frankfort, IL 60423
Phone (815) 806-0019

550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116

4700 Gilbert Ave
Ste 51
Western Springs, IL 60558
Phone (708) 387-1737

4700 Gilbert Ave
Ste 52
Western Springs, IL 60558
Phone (708) 387-1737

1010 Executive Dr
Ste 230
Westmont, IL 60559

10110 Donald S Powers Dr
Ste 101B
Munster, IN 46321
Phone (219) 961-8480

Organizations & group practices 4

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": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1871816157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17837 80TH AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604775023",
            "telephone_number": "708-342-2500",
            "fax_number": "708-342-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17837 80TH AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604775023",
            "telephone_number": "708-342-2500",
            "fax_number": "708-342-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITS CARNEY",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056004939",
            "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 Feb 10, 2016; 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.