IndividualActive
Jason Thavenet, MOT,OTR/L,CHT
NPI 1649539115 · Occupational Therapist · Libertyville, IL
Provider details
- NPI number
- 1649539115
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT,OTR/L,CHT
- Sex
- Male
- Sole proprietor
- No
- License
- 056.008146 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
825 S Milwaukee Ave
Libertyville, IL 60048-3218
Phone: (847) 990-5350
Fax: (847) 549-6920
Street-level locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Additional practice locations (1)
- 100 Village GrnSuite 120bLincolnshire, IL 60069-3094Phone: (847) 634-2367
Registry dates
- Enumerated
- 2012-05-03
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.