James J Jefko, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.009751 Issued in IL

Practice address

2550 Charles St
Rockford, IL 61108-1673

Phone

(779) 696-7550

NPI assigned

Jun 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1053804153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081673",
            "telephone_number": "779-696-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFKO",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne M Flesch PC
• Kelsey Michelle Jebb, PA-C
• Jeff Weishaar, Psy.D., P.C.
• Chianta A. Jefferson
• Valerie C Jefferson
• Suzanne Jellings, R.N.
• Melissa N Jendusa, CADC
• Brittany Nichole Jenkins
• Crystal Jewell Jenkins
• Leann Jenkins, MS, LCPC

• Occupational Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.