Individual provider Active NPI

Jennifer Victoria Remijas, MS, OTR/L

  • Occupational Therapist
  • Michigan City, IN
National Provider Identifier
1184972572
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31005417A Issued in IN
Practice address
3500 Franciscan Way Ste 400
Michigan City, IN 46360
Phone
(219) 878-8200
Fax
(219) 878-8331
NPI assigned
Aug 16, 2012
Last updated
May 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31005417A IN Primary
Occupational Therapist 225X00000X 056.009610 IL

Addresses

Primary practice location

3500 Franciscan Way Ste 400
Michigan City, IN 46360

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1308 Waukegan Rd
Suite 103
Glenview, IL 60025-3070
Phone (877) 486-4140

Other practice location 2

1308 Waukegan Rd
Suite 103
Glenview, IL 60025-3070
Phone (877) 486-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056.009610ILMDOccupational Therapist
31005417AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Past Accepting new patients
North Shore Pediatric Therapy Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1184972572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FRANCISCAN WAY STE 400",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-878-8200",
            "fax_number": "219-878-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Waukegan Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600253070",
            "country_code": "US",
            "telephone_number": "877-486-4140",
            "fax_number": "847-486-4145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 Waukegan Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600253070",
            "country_code": "US",
            "telephone_number": "877-486-4140",
            "fax_number": "847-486-4145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMIJAS",
        "first_name": "JENNIFER",
        "middle_name": "VICTORIA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005417A",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.