GARY S JOHNSON (OT) – Occupational Therapist, NPI 1619269891

GARY S JOHNSON (OT) is a healthcare provider. based in Westmont, Illinois. specializing in Occupational Therapist. They hold the professional credentials OT. They hold a License No. 056009329 (IL). The NPI Number for GARY S JOHNSON (OT) is 1619269891

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
GARY S JOHNSON (OT)
NPI
1619269891
Phone
(630) 575-6250
Address
600 OAKMONT LN STE 600C
Enumeration Date
6 May 2011
Last Update Date
28 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472563500
Graduation Year
2010 (16 years ago)
PAC ID
3870836166
Group Practice PAC ID
2567372931
Professional Enrollment ID
I20190530002090
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for GARY S JOHNSON (OT)

  • 600 OAKMONT LN STE 600C

    WESTMONT, IL 605595548

    Phone: (630) 575-6250

    Type: Mailing

  • 522 MAIN ST

    EVANSTON, IL 602021815

    Phone: (474) 751-6308

    Fax: (847) 475-1631

    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: 2019-05-30

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
I20190530002090IOccupational Therapist In Private PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60559)

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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: 2567372931View full group profile

Reviews

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Frequently asked questions

What identifier follows GARY S JOHNSON (OT) across health systems?
The NPI 1619269891 uniquely identifies GARY S JOHNSON (OT) in U.S. healthcare data.
Should I treat GARY S JOHNSON (OT) as an active provider?
Patients and plans typically see GARY S JOHNSON (OT) as active in the national extract.
What services align with GARY S JOHNSON (OT)'s listing?
GARY S JOHNSON (OT)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to GARY S JOHNSON (OT)?
The directory associates GARY S JOHNSON (OT) with Westmont, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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