Lauren Netrefa, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.004268 Issued in IL

Practice address

8200 Roosevelt Rd
Forest Park, IL 60130-2528

Phone

(708) 488-9850

NPI assigned

May 2, 2019

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 identifiers 1

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1346805579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 PHEASANT CHASE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302528",
            "telephone_number": "708-488-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETREFA",
        "first_name": "LAUREN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR OTA LICENSE",
            "identifier": "057004268",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indupreet Nagra, MD
• Kate Naudin, LPC, NCC
• Mary Needham
• Thomas John Neidenbach, PT
• Lauren Nelson
• Ayana Nicholes
• Jenna Niemi
• Tanja Noren, M.S.
• John Edward Noto Jr., PH.D.
• Carol Ann Nufer

• Occupational Therapy Assistant in Forest Park, IL
• Providers in Forest 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 Jun 24, 2022; 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.