Individual provider Active NPI

Justin Schvach, MOT

  • Occupational Therapist
  • Elk Grove Village, IL
National Provider Identifier
1962728634
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056-009022 Issued in IL
Practice address
990 Elk Grove Town Ctr
Elk Grove Village, IL 60007-3754
Phone
(847) 290-1111
Fax
(847) 290-1065
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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 056-009022 IL Primary

Addresses

Primary practice location

990 Elk Grove Town Ctr
Elk Grove Village, IL 60007-3754

Mailing address

50 W Schaumburg Rd
Schaumburg, IL 60194-3502
Phone (847) 490-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000134 IL Practitioner - Occupational Therapist in Private Practice 3476719170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1145 N Harlem Ave
Oak Park, IL 60302-1529
Phone (708) 386-2086

1256 W Boughton Rd
Bolingbrook, IL 60440-6568
Phone (630) 378-9420

1644 N Milwaukee Ave
Chicago, IL 60647-5412
Phone (773) 252-2300

206 W Blackhawk Dr
Byron, IL 61010-9523
Phone (779) 513-8230

280 N Randall Rd
Lake in the Hills, IL 60156-5903
Phone (847) 854-8219

407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320

4080 N Milwaukee Ave
Chicago, IL 60641-1831
Phone (773) 545-1153

440 E Roosevelt Rd
Suite 104
West Chicago, IL 60185-3909
Phone (630) 293-5300

4817 E Rockton Rd
Suite 1100
Roscoe, IL 61073-9069
Phone (815) 704-0104

50 W Schaumburg Rd
Schaumburg, IL 60194-3502
Phone (847) 490-7100

722 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 695-5088

8337 W Lawrence Ave
Norridge, IL 60706-3129
Phone (708) 583-9500

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056-009022ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Occupational Therapist CurrentSince Jul 1, 2012 Accepting new patients
Athletico LTD CurrentSince Jul 1, 2012 Accepting new patients

Locations

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

990 Elk Grove Town Ctr
Elk Grove Vlg, IL 60007
Phone (847) 290-1111

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

50 W Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 490-7100

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

100 E Roosevelt Rd
Villa Park, IL 60181
Phone (630) 705-0060

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Organizations & group practices 2

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1962728634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943502",
            "telephone_number": "847-490-7100",
            "fax_number": "847-490-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ELK GROVE TOWN CTR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073754",
            "telephone_number": "847-290-1111",
            "fax_number": "847-290-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHVACH",
        "first_name": "JUSTIN",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-009022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.