Laura Elizabeth Jennison, MS OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056013222 Issued in IL

Practice address

825 Carillon Dr
Bartlett, IL 60103-4581

Phone

(630) 372-1983

NPI assigned

Feb 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Cortlyn Therapy, PC

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1235725730

  IL, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1083410302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BEVERLY CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335205",
            "telephone_number": "773-829-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CARILLON DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034581",
            "telephone_number": "630-372-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNISON",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "MS OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Hofmeister DDS PLLC
• Jass Eyecare P.C.
• Ryan Jass, O.D.
• JC Rejuvenation and Wellness LTD
• Jennifer L Lang LTD
• Jodie Meyers, LLC
• John Katsis D.D.S., LTD.
• Maureen Johnson
• Christine L. Juhl, MA
• Rootul Kakadia, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.