Individual provider Active NPI

Jacquelyn Saxton

  • Occupational Therapist
  • Grayslake, IL
National Provider Identifier
1962176206
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
998 Progress Dr
Grayslake, IL 60030-1671
Phone
(847) 548-3458
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 Primary

Addresses

Primary practice location

998 Progress Dr
Grayslake, IL 60030-1671

Mailing address

998 Progress Dr
Grayslake, IL 60030-1671

Other identifiers 1

IdentifierTypeStateIssuer
056014285OtherILSTATE OF ILLINOIS

Other names 1

  • Jacquelyn Bouton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617002235 CO Practitioner - Occupational Therapist in Private Practice 8729467931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

14501 E Crestline Dr
Centennial, CO 80015-2559
Phone (303) 918-1219

333 S Eaton St
Lakewood, CO 80226-3544
Phone (303) 937-3188

5842 S Taft St
Littleton, CO 80127-2104
Phone (720) 221-3884

7390 W Eastman Place
Lakewood, CO 80227-5039
Phone (720) 504-7030

8160 W Coal Mine Ave
Littleton, CO 80123-4431
Phone (720) 845-2517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Mar 16, 2022 Accepting new patients
Legacy Healthcare Services Inc. Occupational Therapist CurrentSince Mar 16, 2022 Accepting new patients
Therapeutic Links, P.C. Occupational Therapist PastSince Aug 8, 2021 Accepting new patients

Locations

14501 E Crestline Dr
Centennial, CO 80015
Phone (303) 918-1219

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

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, 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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1962176206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 PROGRESS DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 PROGRESS DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301671",
            "telephone_number": "847-548-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXTON",
        "first_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "056014285",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "BOUTON",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.