GARY S JOHNSON OT
NPI 1619269891
Occupational Therapist in Evanston, IL
About Gary S Johnson Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY S JOHNSON OT (NPI 1619269891) is an individual occupational therapist in Evanston, Illinois, licensed in Illinois (056009329) and active in the NPI registry since May 2011.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gary S Johnson Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gary Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 1,298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Johnson's NPI number?
The NPI number for Gary Johnson is 1619269891. It was assigned to this individual provider in the NPPES registry on May 6, 2011.
Where is Gary Johnson located?
Gary Johnson practices at 522 Main St, Evanston, IL 60202. The listed phone number is (474) 751-6308.
What is Gary Johnson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Gary Johnson enrolled in Medicare?
Yes. Gary Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gary Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Johnson reassigns Medicare benefits to Athletico Ltd (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gary Johnson was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.