Jessica Reddy, MOTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056009378 Issued in IL

Practice address

14595 W Rockland Rd
Libertyville, IL 60048-9700

Phone

(847) 680-1205

NPI assigned

Feb 29, 2020

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

Other names 1

• Jessica Moser 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": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582934400000",
    "number": "1336773266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 W PARK AVE APT D",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482666",
            "telephone_number": "623-249-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14595 W ROCKLAND RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489700",
            "telephone_number": "847-680-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "JESSICA",
        "credential": "MOTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-29",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MOSER",
            "credential": "MOTR/L, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan A Rebmann, PTA
• David Recker, M.D.
• Lori Bounds Recker, PA-C
• Reconnecting You
• Geetha M Reddy, MD
• Melissa Jean Reeves, MD
• Reflections Counseling and Assessment LLC
• Prudence Rehm
• Steven Reich, MD
• Reichert Prosthetics & Orthotics, LLC

• Occupational Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; 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.