Jessica L Wortman, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1763 S Dirck Dr
Freeport, IL 61032-6707

Phone

(815) 233-5100

Fax

(815) 235-2233

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freeport Regional Health Care Foundation

  dba FHN

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1457337016

  Occupational Therapist

  NPD (past)
• Northern Illinois Physical Therapy Services PC

  • Occupational Therapist
  • Freeport, IL
  • NPI 1235292111
  NPD (past)
• Lafayette County

  dba Lafayette County Human Services

  • Early Intervention Provider Agency
  • Darlington, WI
  • NPI 1831428465
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073699658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 1ST STREET",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "53566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 S DIRCK DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326707",
            "telephone_number": "815-233-5100",
            "fax_number": "815-235-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTMAN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3580-026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Withrow
• Gretchen Wojtas-Johnson, DNP
• Martha M. Wolf, L.C.S.W.
• Jacob Dale Wookey, D.C.
• Allen Workman, MD
• Carrie Wright, APN CNP
• WSSH Powerback Rehabilitation Services, LLC
• Christa Wyman-Hundrieser
• Gretchen Yeoman, MOTR/L
• Michelle Leigh Young, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.