Active NPI
Jennifer Victoria Remijas, MS, OTR/L
- Occupational Therapist
- Michigan City, IN
National Provider Identifier
1184972572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005417A
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.009610 | IL | MD | Occupational Therapist |
| 31005417A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatric Occupational Therapist
- Glenview, IL
- NPI 1811909492
-
- Developmental Disabilities Clinic/Center
- Glenview, IL
- NPI 1093011579
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.