MR. NELSON VAZQUEZ (OT) – Occupational Therapist, NPI 1235249418

MR. NELSON VAZQUEZ (OT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT1031 (FL). The NPI Number for MR. NELSON VAZQUEZ (OT) is 1235249418

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. NELSON VAZQUEZ (OT)
NPI
1235249418
Phone
(630) 296-2222
Address
790 REMINGTON BLVD
Enumeration Date
30 August 2006
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8644820085
Graduation Year
1982 (44 years ago)
PAC ID
8527035393
Group Practice PAC ID
0244267771
Professional Enrollment ID
I20170522002397
Address ID
SC296781303SE10879BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

340 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in SC

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Provider Addresses for MR. NELSON VAZQUEZ (OT)

  • Remington Boulevard, Bolingbrook, Will County, Illinois, 60439:60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2222

    Type: Mailing

  • Clemson Boulevard, Seneca, Oconee County, South Carolina, 29665, United States

    SENECA, SC 296784526

    Phone: (864) 482-0085

    Fax: (864) 482-0072

    Type: Location

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170522002397IOccupational Therapist In Private PracticeSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities88751$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes57650$0
97140Therapy procedure using manual technique, each 15 minutes18533$0
97022Application of whirlpool therapy11713$0
97167Evaluation for occupational therapy, typically 1 hour3231$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Provider's Procedures

MR. NELSON VAZQUEZ (OT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYSC97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes29323

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244267771View full group profile
NameSpecialtyState
-SC
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeSC
-SC
Physical Therapist In Private PracticeNC
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeIL
-WV
-IL

Reviews

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Frequently asked questions

Is MR. NELSON VAZQUEZ (OT) listed with a National Provider Identifier?
Yes — MR. NELSON VAZQUEZ (OT) has NPI 1235249418 on file in the registry.
Would MR. NELSON VAZQUEZ (OT) appear as active to a payer?
You can treat MR. NELSON VAZQUEZ (OT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. NELSON VAZQUEZ (OT)'s focus?
For MR. NELSON VAZQUEZ (OT), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. NELSON VAZQUEZ (OT)?
Travel planning: use Bolingbrook, Illinois as the reference point for MR. NELSON VAZQUEZ (OT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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