Jacob Timothy Anhalt

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.016355 Issued in IL

Practice address

1725 W Harrison St Ste 440
Chicago, IL 60612-3836

Phone

(312) 563-2454

NPI assigned

Dec 25, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rci (WRS), LLC.

  • Physical Therapy Clinic/Center
  • Mt Prospect, IL
  • NPI 1417561655

  IL

  Medicare reassignment Care Compare group NPD
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Elmwood Park, IL
  • NPI 1609480789
  Care Compare group NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  IL

  Medicare reassignment
• Rci (WRS), LLC

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1144834227
  Care Compare group
• Rci (WRS), LLC

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1437759404
  Care Compare group
• Rci (WRS), LLC

  • Rehabilitation Clinic/Center
  • Oak Lawn, IL
  • NPI 1912511080
  Care Compare group
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1033723101
  Care Compare group
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1093320855
  Care Compare group
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1134733298
  Care Compare group
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1225642382
  Care Compare group
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Oak Park, IL
  • NPI 1245844323
  Care Compare group
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Tinley Park, IL
  • NPI 1629682703
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1962210765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 BROOKSIDE LN APT 805",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736333",
            "telephone_number": "608-338-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123836",
            "telephone_number": "312-563-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHALT",
        "first_name": "JACOB",
        "middle_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.016355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Z Anguiano
• Rebekah H Anguiano, PHARM.D.
• Anthony Joseph Anguille-Valles, DO
• Kevin Angulo, LPC
• Melissa Angulo, APN
• Charity Anne G Anicete, PHARM.D.
• Joshua Anicetti, MD
• Allison Anich
• Amy Anichini, MS, RD, LDN
• Jane Anichini, APRN

• All providers in Chicago, IL
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.