Gentry Rose Drenth, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.003230 Issued in IL

Practice address

17833 Harlem Ave
Tinley Park, IL 60477

Phone

(708) 782-4077

NPI assigned

May 12, 2010

Last updated

Aug 21, 2018By the provider in NPPES

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

Other names 1

• Gentry Rose Roeters Former name

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1275851479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W SUMNER AVE",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689545",
            "telephone_number": "708-710-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17833 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-782-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 E Tyler Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785507212",
            "country_code": "US",
            "telephone_number": "956-440-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRENTH",
        "first_name": "GENTRY",
        "middle_name": "ROSE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.003230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENTRY",
            "last_name": "ROETERS",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Marie Doyle
• Dr. Robert Thies, D.D.S., P.C. (Amazing Smiles Family Dental Care)
• Dr. Scott Lowry DO
• Ahmad Drea, DC
• Carrie Drechny
• Barbara Driver, OTR/L
• Philip Joseph Dryer, ATC
• Du Page Medical Group LTD (LaGrange Road Pharmacy)
• Yifei Du
• Jessica Duffin, MSN, FNP-C

• Occupational Therapy Assistant in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.