SUSAN RENE JOHNSON (OTR/L) – Occupational Therapist, NPI 1629366778

SUSAN RENE JOHNSON (OTR/L) is a healthcare provider. based in Bolingbrook, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OT005403 (OH). The NPI Number for SUSAN RENE JOHNSON (OTR/L) is 1629366778

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN RENE JOHNSON (OTR/L)
NPI
1629366778
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
11 July 2011
Last Update Date
31 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142620907
Graduation Year
2000 (26 years ago)
PAC ID
2769651785
Group Practice PAC ID
3072427517
Professional Enrollment ID
I20110809000402
Address ID
OH432406110CO1210XPLXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

499 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for SUSAN RENE JOHNSON (OTR/L)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Type: Mailing

  • 1210 GEMINI PL

    SUITE 200

    COLUMBUS, OH 432406109

    Phone: (614) 262-0907

    Fax: (614) 262-0822

    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: 2011-08-09

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
I20110809000402IOccupational Therapist In Private PracticeOHTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes25857$0
97140Therapy procedure using manual technique, each 15 minutes11136$0
97530Therapy procedure using functional activities10430$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3317$0
97022Application of whirlpool therapy3113$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Provider's Procedures

SUSAN RENE JOHNSON (OTR/L) 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 THERAPYOH97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33853
OCCUPATIONAL THERAPYOH97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes11128

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: 3072427517View full group profile
NameSpecialtyState
-OH
-OH
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN RENE JOHNSON (OTR/L)'s NPI?
Yes. SUSAN RENE JOHNSON (OTR/L) is listed with NPI 1629366778 in the public NPI dataset.
Is SUSAN RENE JOHNSON (OTR/L) still practicing?
SUSAN RENE JOHNSON (OTR/L) is currently listed as active in the public NPI registry.
What healthcare role does SUSAN RENE JOHNSON (OTR/L) hold?
Scheduling teams often label SUSAN RENE JOHNSON (OTR/L) under Occupational Therapist. Clinical services aligned with this taxonomy classification.
What area does SUSAN RENE JOHNSON (OTR/L) serve?
SUSAN RENE JOHNSON (OTR/L)'s listing highlights Bolingbrook, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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