Jaclyn Rotier, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119004525 Issued in VA

Practice address

12475 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2803

Phone

(408) 439-4160

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jaclyn Goryl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1033523048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CHADFIELD WAY NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764930",
            "telephone_number": "408-439-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12475 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332803",
            "telephone_number": "408-439-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTIER",
        "first_name": "JACLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "GORYL",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Soheil Rostami, DDS
• Alexandra Roth, LCSW
• Olivia Roth
• Richard B Rothman, M.D., PH.D.
• John F. Rothrock, MD
• Rowan Center for Behavioral Medicine, a Psychological Corporation
• Kelly Rowe, MS
• Karenna M. Rowenhorst, MA, CCC-SLP
• Sarah Rowland, MA
• Meaghan Anne Roy-O'Reilly, MD/PHD

• Occupational Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.