Wild Roots Occupational Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

WILD ROOTS OCCUPATIONAL THERAPY

Practice address

100 N Stauffer Dr
Naperville, IL 60540-4178

Phone

(704) 618-4141

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry A O'Rourke, OTR/LNPI 1912119033

Title

Occupational Therapist

Phone

(704) 618-4141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Anne Orourke, OTR/L

  • Pediatric Occupational Therapist
  • Naperville, IL
  • NPI 1912119033

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1326805268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N STAUFFER DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404178",
            "telephone_number": "704-618-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N STAUFFER DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404178",
            "telephone_number": "704-618-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROOTS OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "O'ROURKE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "704-618-4141",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Wielgolewski, MD
• Kristin Marie Wiese, M.D.
• Tiffany Nohelani Wiesner
• Catherine Wigder, MD
• Deanna Wiggin
• Kelsey Wild
• Jennifer Ann Wileman, P.T.
• Melanie M. Wilke, APN-CNP
• Christine Renae Wilkerson, D.C.
• Jessica Wilkiel, LPC

• Pediatric Occupational Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.