Individual provider Active NPI

Kevin Campos, OTD

  • Occupational Therapist
  • South Elgin, IL
National Provider Identifier
1992471544
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014379 Issued in IL
Practice address
810 N la Fox St
South Elgin, IL 60177-1626
Phone
(224) 454-9032
NPI assigned
Aug 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 056.014379 IL Primary

Addresses

Primary practice location

810 N la Fox St
South Elgin, IL 60177-1626

Mailing address

810 N la Fox St
South Elgin, IL 60177-1626
Phone (224) 454-9032

Other practice location 1

1901 Silver Glen Rd
South Elgin, IL 60177-3351
Phone (224) 276-2055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105000070 IL Practitioner - Occupational Therapist in Private Practice 8820487242 Reassigns benefits to 5 organizations

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)

110 W Schaumburg Rd
Streamwood, IL 60107-1459
Phone (630) 444-7087

1901 Silver Glen Rd
South Elgin, IL 60177-3351
Phone (847) 214-6271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Il LLC Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
Therapy Adventures PLLC Occupational Therapist CurrentSince Mar 31, 2026 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Dec 9, 2025 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Dec 9, 2025 Accepting new patients

Locations

2045 W Grand Ave
Ste B36053
Chicago, IL 60612

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Organizations & group practices 8

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1992471544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N LA FOX ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771626",
            "telephone_number": "224-454-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N LA FOX ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771626",
            "telephone_number": "224-454-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Silver Glen Rd",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "601773351",
            "country_code": "US",
            "telephone_number": "224-276-2055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "KEVIN",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.