JENNIFER CYNTHIA KUBACIK (OT) – Occupational Therapist, NPI 1609390087
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for JENNIFER CYNTHIA KUBACIK (OT)
900 S Rand Rd
Lake Zurich, IL 600472450
Phone: (847) 726-1265
Type: Location
2000 LAKE AVE
WOODSTOCK, IL 600987401
Phone: (815) 337-7100
Fax: (815) 337-4793
Type: Mailing
1056, Piccolo Lane, Volo, Lake County, Illinois, 60073, United States
VOLO, IL 600735923
Phone:
Type: Mailing
900, Rand Road, Quail Run, Lake Zurich, Lake County, Illinois, 60047, United States
LAKE ZURICH, IL 600472450
Phone: (847) 726-1265
Type: Location
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: 2023-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230714001604 | I | Occupational Therapist In Private Practice | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 76 | 11 | $0 |
Insurance plans in this area (ZIP 60047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | IL | |
| - | WI | |
| O P H T H A L M O L O G Y | IL | |
| - | WI | |
| - | IL | |
| - | WI | |
| Diagnostic Radiology | IL | |
| Nurse Practitioner | IL |
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