Jennifer E Boersma, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004908 Issued in IL

Practice address

424 N Rand Rd
North Barrington, IL 60010-1496

Phone

(847) 756-2680

NPI assigned

Jul 15, 2018

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• Child Therapy and Rehabilitation LLC

  • Hearing and Speech Clinic/Center
  • Elgin, IL
  • NPI 1679927222
  NPD (past)

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1295211019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LEGEND LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508008",
            "telephone_number": "815-861-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N RAND RD",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600101496",
            "telephone_number": "847-756-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Fletcher Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234757",
            "country_code": "US",
            "telephone_number": "847-697-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginette Abonce
• Denise Arend, M.A., CCC-SLP
• Roseann E Brady, D.O.
• Caroline Rose Chen, MS OTRL
• Childrens Therapy & Rehab Specialists
• Dawn Michele Deblois, PTA
• Deborah Chisholm Karas RN PC

• Occupational Therapy Assistant in North Barrington, IL
• Providers in North Barrington, 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 Jul 15, 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.